Individual provider Active NPI

Aaron Wayne Sable, MD

  • Physical Medicine & Rehabilitation Physician
  • Warren, MI
National Provider Identifier
1306856984
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301407605 Issued in MI
Practice address
13850 E 12 Mile Rd
Warren, MI 48088-3730
Phone
(586) 552-4499
Fax
(586) 552-4878
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301407605 MI Primary

Addresses

Primary practice location

13850 E 12 Mile Rd
Warren, MI 48088-3730

Mailing address

13850 E 12 Mile Rd
Warren, MI 48088-3730
Phone (586) 552-4499

Other identifiers 1

IdentifierTypeStateIssuer
4447455MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000348 MI Practitioner - Physical Medicine and Rehabilitation 6608868492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301407605MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Physical Medicine & Rehabilitation PC CurrentSince Apr 25, 2016 Accepting new patients
Macomb Neurology Associates PC Past Accepting new patients

Locations

11900 E 12 Mile Rd
Ste 209
Warren, MI 48093
Phone (586) 552-2100

13850 E 12 Mile Rd
Warren, MI 48088
Phone (586) 552-4499

Interoperability endpoints

  • Direct secure messaging: aaron.sable.2@13626.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1306856984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13850 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883730",
            "telephone_number": "586-552-4499",
            "fax_number": "586-552-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13850 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883730",
            "telephone_number": "586-552-4499",
            "fax_number": "586-552-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLE",
        "first_name": "AARON",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301407605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4447455",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.