Sai K. Sista MD, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301034917 Issued in MI

Legal business name

SAI K. SISTA MD, PLLC

Practice address

44000 W 12 Mile Rd
Suite 212
Novi, MI 48377-2644

Phone

(248) 344-0400

Fax

(248) 347-8215

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Sai Sista, MD

Title

Owner Physician

Phone

(248) 344-0400

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1932141306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD",
            "address_2": "SUITE 212",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772644",
            "telephone_number": "248-344-0400",
            "fax_number": "248-347-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD",
            "address_2": "SUITE 212",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772644",
            "telephone_number": "248-344-0400",
            "fax_number": "248-347-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI K. SISTA MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "SISTA",
        "authorized_official_first_name": "SAI",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "248-344-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301034917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ4870",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932141306",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "100F338440",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "100F338440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revard Joseph Saffo
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• Giti Bharati Sahoo
• Shabeta Sahore, M.D.
• Lynn Marion Said, PT
• Malek Saif, LMSW
• Jason G Saineghi, CRNA
• Anvita Bitta Saini, M.D.
• Arlene Saiz

• Gastroenterology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.