Individual provider Active NPI

Sibin K Zacharias, MD

  • Cardiovascular Disease Physician
  • Mount Clemens, MI
National Provider Identifier
1750544268
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301092477 Issued in MI
Practice address
1030 Harrington St
Ste 101
Mount Clemens, MI 48043-2967
Phone
(586) 464-4010
Fax
(586) 468-7997
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301092477 MI
Cardiovascular Disease Physician 207RC0000X 4301092477 MI Primary

Addresses

Primary practice location

1030 Harrington St
Ste 101
Mount Clemens, MI 48043-2967

Mailing address

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (586) 710-8300

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
I20150715001378 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567693435 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians
McLaren OaklandGroup PAC ID 0547173213, 51 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

1030 Harrington St
Suite 101
Mount Clemens, MI 48043-2967
Phone (586) 468-8500

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

5210 Highland Rd
Suite 200
Waterford, MI 48327-1970
Phone (248) 625-9099

Hospital & facility affiliations

  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092477MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Jan 1, 2023 Accepting new patients
McLaren Medical Group CurrentSince Jan 1, 2023 Accepting new patients
McLaren Oakland CurrentSince Aug 21, 2017 Accepting new patients
McLaren Oakland Cardiovascular Disease Current Accepting new patients
McLaren Oakland CurrentSince Aug 21, 2017 Accepting new patients
General Radiology Associates, P.C. CurrentSince May 8, 2023 Accepting new patients
McLaren Macomb Cardiovascular Disease CurrentSince Feb 15, 2016 Accepting new patients
McLaren Medical Group Past Accepting new patients
McLaren Macomb Past Accepting new patients

Locations

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

66440 Gratiot Ave
Lenox, MI 48050
Phone (586) 430-4022

1030 Harrington St
Ste 101
Mount Clemens, MI 48043
Phone (586) 464-4010

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

5210 Highland Rd
Ste 200
Waterford, MI 48327
Phone (248) 625-9099

Interoperability endpoints

  • Direct secure messaging: szacharias409835@direct.hfhs.org

Organizations & group practices 9

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 7

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1750544268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "586-710-8300",
            "fax_number": "810-342-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "STE 101",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-464-4010",
            "fax_number": "586-468-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAS",
        "first_name": "SIBIN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301092477",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301092477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.