SONALI NITIN WILBORN (MD) – Internal Medicine Physician, NPI 1164523247

SONALI NITIN WILBORN (MD) is a healthcare provider. based in Dearborn, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301071894 (MI). The NPI Number for SONALI NITIN WILBORN (MD) is 1164523247

Main info

Female
Name
SONALI NITIN WILBORN (MD)
NPI
1164523247
Phone
(313) 563-3332
Address
3200 GREENFIELD RD
Enumeration Date
25 September 2006
Last Update Date
22 November 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SONALI NITIN WILBORN (MD)

  • Greenfield Road, Dearborn, Wayne County, Michigan, 28228, United States

    SUITE 250

    DEARBORN, MI 481201802

    Phone: (313) 563-3332

    Fax: (313) 563-3342

    Type: Mailing

  • 18181, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States

    STE 208

    DEARBORN, MI 481245032

    Phone: (313) 271-5565

    Fax: (313) 271-1053

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090320000210IHospice/Palliative CareMITBD
I20200521002254IInternal MedicineNCTBD
I20210125000660IInternal MedicineCOTBD
I20211014003274IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48120)

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Reviews

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Frequently asked questions

Is there an official ID for SONALI NITIN WILBORN (MD) in U.S. healthcare records?
The official identifier for SONALI NITIN WILBORN (MD) is NPI 1164523247.
Would SONALI NITIN WILBORN (MD) appear as active to a payer?
You can treat SONALI NITIN WILBORN (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for SONALI NITIN WILBORN (MD)?
At a glance, SONALI NITIN WILBORN (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SONALI NITIN WILBORN (MD) located near Dearborn?
SONALI NITIN WILBORN (MD) currently maps to Dearborn, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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