Individual provider Active NPI

Nipa Sikdar

  • Family Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1851172092
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704310378 Issued in MI
Practice address
3543 Connors Dr
Rochester Hills, MI 48307-5088
Phone
(586) 229-7686
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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 4704310378 MI Primary

Addresses

Primary practice location

3543 Connors Dr
Rochester Hills, MI 48307-5088

Mailing address

3543 Connors Dr
Rochester Hills, MI 48307-5088
Phone (586) 229-7686

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
I20240326001174 MI Practitioner - Nurse Practitioner 9537506563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Hamtramck Family Health Care PCGroup PAC ID 2860826070, 2 clinicians
Hamtramck Community Medical Center PCGroup PAC ID 9234166174, 2 clinicians

Practice addresses (Care Compare)

9740 Conant St
Hamtramck, MI 48212-3307
Phone (313) 556-9900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamtramck Community Medical Center PC CurrentSince Feb 19, 2024 Accepting new patients
Hamtramck Family Health Care PC CurrentSince Apr 26, 2024 Accepting new patients
Hamtramck Community Medical Center PC Past Accepting new patients

Locations

9740 Conant St
#100
Hamtramck, MI 48212

9740 Conant St
Ste 1
Hamtramck, MI 48212
Phone (313) 556-9900

9740 Conant St
Hamtramck, MI 48212
Phone (313) 556-9900

9740 Conant St
Ste 2
Hamtramck, MI 48212

Organizations & group practices 3

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1851172092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 CONNORS DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075088",
            "telephone_number": "586-229-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 CONNORS DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075088",
            "telephone_number": "586-229-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKDAR",
        "first_name": "NIPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704310378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.