Active NPI
Lilia Marina Santisteban, NP-C
- Nurse Practitioner
- Birmingham, MI
National Provider Identifier
1538535562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704246238
- Practice address
- 1010 Bowers St
Birmingham, MI 48009-6797 - Phone
- (248) 792-9628
- NPI assigned
- Aug 13, 2015
- Last updated
- Sep 21, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704246238 | MI | Primary |
Addresses
Primary practice location
1010 Bowers St
Birmingham, MI 48009-6797
Mailing address
1010 Bowers St
Birmingham, MI 48009-6797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538535562 | Other | MI | LILIA M. MLECZKO |
Other names 1
- Mrs. Lilia Marina Santisteban
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Specialist of Michigan PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery of the Spine Physician
- Bingham Farms, MI
- NPI 1760687487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1538535562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 BOWERS ST",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 BOWERS ST",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096797",
"telephone_number": "248-792-9628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTISTEBAN",
"first_name": "LILIA",
"middle_name": "MARINA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704246238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LILIA M. MLECZKO",
"identifier": "1538535562",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LILIA",
"last_name": "SANTISTEBAN",
"middle_name": "MARINA",
"prefix": "MRS.",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.