Fadya Siso, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601011431 Issued in MI

Practice address

1701 South Blvd E Ste 110
Rochester Hills, MI 48307-6118

Phone

(248) 853-0803

NPI assigned

Feb 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fadya.siso.p15@direct.aara1.nextgenshare.com

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.

• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Medicare reassignment NPD
• Arcturus Healthcare PLC

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1326487901
  Medicare reassignment
• John E. Tower DO PC

  • Non-Pharmacy Dispensing Site
  • Rochester Hills, MI
  • NPI 1417151036
  Medicare reassignment
• Macomb Oakland Adult Medicine PC

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1669576120
  NPD

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1932854916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13265 BOCA GRANDE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123208",
            "telephone_number": "248-506-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076118",
            "telephone_number": "248-853-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISO",
        "first_name": "FADYA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Gayle Singer, B.S., M.ED.
• Shivani Singh, M.D.
• Kayla Singleton
• Amruta Sinha, M.D.
• Hilary Sircus
• Kathleen Elizabeth Sisson, M.S., PA-C
• Ashley Sitalo
• Annamarie Sitto, DMD
• SJMH Medical Practice
• Skin Care Physicians PC

• Physician Assistant in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.