Individual provider Active NPI

Kristina Sangalang, FNP-BC

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1659952091
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704300818 Issued in MI
Practice address
44199 Dequindre Rd Ste 315
Troy, MI 48085-1128
Phone
(248) 964-1466
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704300818 MI Primary

Addresses

Primary practice location

44199 Dequindre Rd Ste 315
Troy, MI 48085-1128

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

44199 Dequindre Rd Ste G-10
Troy, MI 48085-1128
Phone (248) 964-6111

Other practice location 2

3571 W 13 Mile Rd
Royal Oak, MI 48073-6710
Phone (248) 964-6111

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
I20220228000860 MI Practitioner - Nurse Practitioner 8820482342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ayman Tarabishy MD PLLCGroup PAC ID 0446521850, 6 clinicians
Neurosurgery and Spine Care PLLCGroup PAC ID 3870907504, 9 clinicians

Practice addresses (Care Compare)

34020 7 Mile Rd
Suite 101
Livonia, MI 48152-3093
Phone (248) 900-1555

Hospital & facility affiliations

  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ayman Tarabishy MD PLLC CurrentSince Nov 5, 2024 Accepting new patients
Neurosurgery and Spine Care PLLC CurrentSince Oct 1, 2025 Accepting new patients
Ayman Tarabishy MD PLLC CurrentSince Nov 5, 2024 Accepting new patients
Neurosurgery and Spine Care PLLC CurrentSince Oct 1, 2025 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

31500 Telegraph Rd
Ste 205
Bingham Farms, MI 48025
Phone (248) 594-4913

1221 Bowers St
Unit 940
Birmingham, MI 48012

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

34020 7 Mile Rd
Ste 101
Livonia, MI 48152
Phone (248) 516-5016

Interoperability endpoints

  • Direct secure messaging: kristina.sangalang.1@24274.direct.athenahealth.com

Organizations & group practices 5

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": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1659952091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD STE 315",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-964-1466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44199 Dequindre Rd Ste G-10",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851128",
            "country_code": "US",
            "telephone_number": "248-964-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3571 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736710",
            "country_code": "US",
            "telephone_number": "248-964-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGALANG",
        "first_name": "KRISTINA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704300818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.