Individual provider Active NPI

Sasinee Vibhasiri, MD

  • Obstetrics & Gynecology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1891063541
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301031602 Issued in MI
Practice address
732 Brookwood Walke
Bloomfield Hills, MI 48304-1900
Phone
(248) 644-6360
Fax
(248) 644-6360
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301031602 MI Primary

Addresses

Primary practice location

732 Brookwood Walke
Bloomfield Hills, MI 48304-1900

Mailing address

732 Brookwood Walke
Bloomfield Hills, MI 48304-1900
Phone (248) 644-6360

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
I20130426000526 MI Order and Referring Only - Obstetrics/GynecologyPractitioner - Family PracticePractitioner - Obstetrics/Gynecology 1254577828

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1891063541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 BROOKWOOD WALKE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041900",
            "telephone_number": "248-644-6360",
            "fax_number": "248-644-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 BROOKWOOD WALKE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041900",
            "telephone_number": "248-644-6360",
            "fax_number": "248-644-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIBHASIRI",
        "first_name": "SASINEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301031602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.