Individual provider Active NPI

Siva Sankaran, MD

  • Internal Medicine Physician
  • Clio, MI
National Provider Identifier
1306986252
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301039199 Issued in MI
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

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1102500032OtherMIBLUE CROSS BLUE SHIELD
2106116MedicaidMI
1102500032OtherMIBLUE CARE NETWORK
791021616OtherMIMETRAHEALTH
D90128OtherMAMETRAHEALTH
1100031OtherMIHEALTH PLUS
1002102OtherMIHEALTH ADVANTAGE NETWORK
D90128OtherMIHEALTH ALLIANCE PLAN
1102500032OtherMIBLUE CHOICE

Other names 1

  • Siva Sankaran Other 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000503 MI Practitioner - Internal Medicine 6800954272 Reassigns benefits to 1 organization

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 Home health agency, Saginaw, MI, CCN 239226
  • McLaren Flint Hospital, Flint, MI, CCN 230141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301039199MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siva Sankaran MD PC Internal Medicine CurrentSince Jun 19, 2008 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.