MR. SIDHARTH ANNEBOINA PT
NPI 1659683407
Physical Therapist in Fowlerville, MI

Active since July 09, 2010Accepts Medicare Assignment
94.08/100
CMS Quality Rating
202 E VAN RIPER RD STE 200, FOWLERVILLE, MI 48836(517) 223-2100(517) 223-2101 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 27, 2023, Aug 22, 2022 (2 updates tracked since 2022).

About Mr. Sidharth Anneboina Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SIDHARTH ANNEBOINA PT (NPI 1659683407) is an individual physical therapist in Fowlerville, Michigan, licensed in Michigan (5501013970) and active in the NPI registry since July 2010. He maintains a secondary practice location in Novi and is a graduate of Other (2006).

NPPES Registry Identity

NPI1659683407
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. SIDHARTH ANNEBOINACredential: PT
Location Address202 E VAN RIPER RD STE 200Fowlerville, MI 48836-7947
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (866) 370-8206 · Fax (517) 435-3678
Fax(517) 223-2101
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 9, 2010
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2023
✔ NPI 1659683407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MI · 5501013970
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 5501013970 (MI)
202 E VAN RIPER RD STE 200, Fowlerville, MI 48836

Secondary Practice Location 1

Location 126750 Providence Pkwy Ste 240Novi, MI 48374-1211 · Phone (669) 742-6738 · Fax (866) 939-2673

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Sidharth Anneboina Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678809233
PECOS Enrollment IDI20190719002546

Medicare Billing Reassignments

3

Medicare enrollment records show Sidharth Anneboina reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
202 E VAN RIPER RD, SUITE 200
Fowlerville, MI 48836
  • Reassigned Medicare billing, Michigan enrollment
  • 244 clinicians in this Medicare group
Orthopaedic Surgery
26750 PROVIDENCE PKWY STE 200
Novi, MI 48374
  • Reassigned Medicare billing, Michigan enrollment
  • 46 clinicians in this Medicare group
Physical Therapist
17220 W 12 MILE RD # 140
Southfield, MI 48076
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48836 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.04
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sidharth Anneboina's NPI number?

The NPI number for Sidharth Anneboina is 1659683407. It was assigned to this individual provider in the NPPES registry on July 9, 2010.

Where is Sidharth Anneboina located?

Sidharth Anneboina practices at 202 E Van Riper Rd Ste 200, Fowlerville, MI 48836. The listed phone number is (517) 223-2100.

What is Sidharth Anneboina's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sidharth Anneboina enrolled in Medicare?

Yes. Sidharth Anneboina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sidharth Anneboina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sidharth Anneboina reassigns Medicare benefits to 3 organizations: Michigan Rehabilitation Specialists Of Fowlerville LLC (Fowlerville, MI), The Porretta Center For Orthopaedic Surgery, PLLC (Novi, MI) and We Care Physical Therapy (Southfield, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sidharth Anneboina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sidharth Anneboina accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Sidharth Anneboina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sidharth Anneboina was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.