Individual provider Active NPI

Trisha Kabat, PA

  • Physician Assistant
  • Frankenmuth, MI
National Provider Identifier
1215704994
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011956 Issued in MI
Practice address
600 N Main St
Set 220B
Frankenmuth, MI 48734
Phone
(989) 652-1422
Fax
(989) 583-1856
NPI assigned
Dec 4, 2023
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011956 MI Primary

Addresses

Primary practice location

600 N Main St
Set 220B
Frankenmuth, MI 48734

Mailing address

3451 Barnard Rd
Saginaw, MI 48603-2506
Phone (616) 295-3326

Other names 1

  • Trisha Sruba Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220004379 MI Practitioner - Physician Assistant 4789028598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

193 E Jefferson St
Frankenmuth, MI 48734-1935

1941 Gates St
Reese, MI 48757-9555
Phone (989) 583-5550

600 N Main St
Frankenmuth, MI 48734-1152

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. CurrentSince Feb 14, 2024 Accepting new patients

Locations

600 N Main St
#220B
Frankenmuth, MI 48734
Phone (989) 652-1422

600 N Main St
Ste 210
Frankenmuth, MI 48734
Phone (989) 652-1440

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Interoperability endpoints

  • Direct secure messaging: tkabat159813@direct.covenanthealthcare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1215704994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 BARNARD RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032506",
            "telephone_number": "616-295-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "address_2": "SET 220B",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "48734",
            "telephone_number": "989-652-1422",
            "fax_number": "989-583-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABAT",
        "first_name": "TRISHA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISHA",
            "last_name": "SRUBA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankenmuth, MI

Sources for this page

Verify at the official NPI Registry.