Active NPI
Sibin K Zacharias, MD
- Cardiovascular Disease Physician
- Mount Clemens, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301092477
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- McLaren Oakland
- Henry Ford Macomb Hospital
- McLaren Port Huron
- Trinity Health Oakland Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 17 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092477 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients | |
| McLaren Oakland | Current | Accepting new patients | |
| McLaren Oakland | Cardiovascular Disease | Current | Accepting new patients |
| McLaren Oakland | Current | Accepting new patients | |
| General Radiology Associates, P.C. | Current | Accepting new patients | |
| McLaren Macomb | Cardiovascular Disease | Current | 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
- 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.
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
- Diagnostic Radiology Physician
- Mount Clemens, MI
- NPI 1801801519
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- Psychiatric Hospital Unit
- Pontiac, MI
- NPI 1245817881
-
- General Practice Physician
- Pontiac, MI
- NPI 1790055143
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- Internal Medicine Physician
- Flint, MI
- NPI 1780652206
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.