Individual provider Active NPI

Bianca Siegel, M.D.

  • Otolaryngology Physician
  • Detroit, MI
National Provider Identifier
1467684555
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301108044 Issued in MI
Practice address
3901 Beaubien St
3Rd Floor, Carls BLDG
Detroit, MI 48201-2119
Phone
(313) 745-9048
Fax
(313) 745-5848
NPI assigned
Aug 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301108044 MI Primary

Addresses

Primary practice location

3901 Beaubien St
3Rd Floor, Carls BLDG
Detroit, MI 48201-2119

Mailing address

3901 Beaubien St
3Rd Floor, Carls BLDG
Detroit, MI 48201-2119
Phone (313) 745-9048

Other practice location 1

29120 Franklin Rd
Southfield, MI 48034-1105
Phone (313) 745-9048

Other practice location 2

350 W Big Beaver Rd
Troy, MI 48084-5246
Phone (313) 745-9048

Other names 1

  • Bianca Gruber Former 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
I20150930001776 MI Practitioner - Otolaryngology 4587972237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

3901 Beaubien St
Suite 4
Detroit, MI 48201-2119
Phone (313) 745-5538

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108044MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Sep 14, 2015 Accepting new patients
VHS Childrens Hospital of Michigan Inc Past Accepting new patients

Locations

45250 Cherry Hill Rd
Canton, MI 48187
Phone (734) 397-6270

3901 Beaubien St
Ste 2102
Detroit, MI 48201
Phone (313) 745-5585

3901 Beaubien St
Fl 3
Detroit, MI 48201
Phone (313) 745-5906

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3901 Beaubien St
#4
Detroit, MI 48201
Phone (313) 745-5515

29120 Franklin Rd
Southfield, MI 48034
Phone (248) 351-7671

350 W Big Beaver Rd
Troy, MI 48084
Phone (248) 524-7180

Interoperability endpoints

  • Direct secure messaging: bsiegel@direct.dmc.org

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": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1467684555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "address_2": "3RD FLOOR, CARLS BLDG",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-745-9048",
            "fax_number": "313-745-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "address_2": "3RD FLOOR, CARLS BLDG",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-745-9048",
            "fax_number": "313-745-5848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29120 Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341105",
            "country_code": "US",
            "telephone_number": "313-745-9048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 W Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480845246",
            "country_code": "US",
            "telephone_number": "313-745-9048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "BIANCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301108044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "GRUBER",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.