Individual provider Active NPI

Sydney Wais, PA-C

  • Physician Assistant
  • Farmington Hills, MI
National Provider Identifier
1356218796
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013462 Issued in MI
Practice address
28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979
Phone
(248) 553-0010
Fax
(248) 553-5957
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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 5601013462 MI Primary

Addresses

Primary practice location

28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979

Mailing address

28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010

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
I20260304000488 MI Practitioner - Physician Assistant 0547742199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Detroit Mercy School of Dentistry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2235 Cameo Lake CT
Bloomfield Hills, MI 48302-1605

28595 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48334-2977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601013462MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Neurological Associates P C CurrentSince Feb 5, 2026 Accepting new patients
West Michigan Aas LLC CurrentSince Feb 5, 2026 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1697

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1356218796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342979",
            "telephone_number": "248-553-0010",
            "fax_number": "248-553-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342979",
            "telephone_number": "248-553-0010",
            "fax_number": "248-553-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIS",
        "first_name": "SYDNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.