Individual provider Active NPI

Beena Sathish Philip, PA

  • Physician Assistant
  • Clinton TWP, MI
National Provider Identifier
1427787985
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011143 Issued in MI
Practice address
43900 Garfield Rd
Clinton TWP, MI 48038-1128
Phone
(586) 868-2600
NPI assigned
Jun 8, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 5601011143 MI Primary

Addresses

Primary practice location

43900 Garfield Rd
Clinton TWP, MI 48038-1128

Mailing address

43900 Garfield Rd
Clinton TWP, MI 48038-1128
Phone (586) 868-2600

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
I20220916002690 MI Practitioner - Physician Assistant 3072998624 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Get Well Urgent Care Shelby PLCGroup PAC ID 0749646412, 16 clinicians
Get Well Urgent Care Macomb PLCGroup PAC ID 6204232176, 19 clinicians
Get Well Urgent Care Harper Woods PLCGroup PAC ID 5698145506, 14 clinicians
Oak Park Urgent Care PLLCGroup PAC ID 6305169988, 23 clinicians
Get Well Urgent Care Sterling Heights PLCGroup PAC ID 8820405400, 19 clinicians
Get Well Urgent Care Madison Heights PLCGroup PAC ID 1052670882, 22 clinicians
Get Well Urgent Care Pontiac PLCGroup PAC ID 2961872726, 16 clinicians

Practice addresses (Care Compare)

13467 23 Mile Rd
Shelby Township, MI 48315-2717
Phone (586) 884-7400

15945 19 Mile Rd
Suite 102
Clinton TWP, MI 48038-1147
Phone (586) 431-9100

19959 Vernier Rd
Suite 400
Harper Woods, MI 48225-1423
Phone (313) 499-1951

24661 Coolidge Hwy
Oak Park, MI 48237-1449
Phone (248) 398-4000

2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146
Phone (586) 754-0000

350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone (248) 206-3797

983 Orchard Lake Rd
Pontiac, MI 48341-2785
Phone (248) 900-9970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601011143MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Garg and Associates Inc Past Accepting new patients
Harper Woods Urgent Care and Medical Center PLLC PastSince Jul 7, 2019 Accepting new patients
Hoover Urgent Care of Warren PLLC Past Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1427787985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43900 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381128",
            "telephone_number": "586-868-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43900 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381128",
            "telephone_number": "586-868-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "BEENA",
        "middle_name": "SATHISH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.