Active NPI
Siva Sankaran, MD
- Internal Medicine Physician
- Clio, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301039199
- Practice address
- 3296 W Vienna Rd
Clio, MI 48420-1300 - Phone
- (810) 686-4030
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301039199 | MI | Primary |
Addresses
Primary practice location
3296 W Vienna Rd
Clio, MI 48420-1300
Mailing address
3296 W Vienna Rd
Clio, MI 48420-1300
Phone (810) 686-4030
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102500032 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2106116 | Medicaid | MI | |
| 1102500032 | Other | MI | BLUE CARE NETWORK |
| 791021616 | Other | MI | METRAHEALTH |
| D90128 | Other | MA | METRAHEALTH |
| 1100031 | Other | MI | HEALTH PLUS |
| 1002102 | Other | MI | HEALTH ADVANTAGE NETWORK |
| D90128 | Other | MI | HEALTH ALLIANCE PLAN |
| 1102500032 | Other | MI | BLUE CHOICE |
Other names 1
- Siva Sankaran
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3296 W Vienna Rd
Clio, MI 48420-1300
Phone (810) 686-4030
Hospital & facility affiliations
- The Care Team
- McLaren Flint
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301039199 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siva Sankaran MD PC | Internal Medicine | Current | Accepting new patients |
Locations
3296 W Vienna Rd
Clio, MI 48420
Phone (810) 686-4030
8359 Office Park Dr
Grand Blanc, MI 48439
Phone (877) 347-7978
Interoperability endpoints
- ssankaran1150211@direct.hfhs.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Clio, MI
- NPI 1033259866
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saginaw, MI
- NPI 1497069173
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1306986252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3296 W VIENNA RD",
"city": "CLIO",
"state": "MI",
"postal_code": "484201300",
"telephone_number": "810-686-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3296 W VIENNA RD",
"city": "CLIO",
"state": "MI",
"postal_code": "484201300",
"telephone_number": "810-686-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANKARAN",
"first_name": "SIVA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301039199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1102500032",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2106116",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "1102500032",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRAHEALTH",
"identifier": "791021616",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRAHEALTH",
"identifier": "D90128",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "1100031",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE NETWORK",
"identifier": "1002102",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "D90128",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "1102500032",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SIVA",
"last_name": "SANKARAN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clio, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.