NPIMap

Organization Active NPI

Regents of the University of Michigan

  • Nephrology Physician
  • Ann Arbor, MI
National Provider Identifier
1003848144
Registry record updated Apr 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
NPI assigned
Jul 7, 2006
Last updated
Apr 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF MICHGIANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2021

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

Authorized official

Name
David C Miller, MDNPI 1629092713
Title
President
Phone
(734) 936-3568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Nephrology Physician 207RN0300X NU Primary
Pediatric Nephrology Physician 2080P0210X NU

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

3621 S State St
Provider Enrollment
Ann Arbor, MI 48108
Phone (734) 647-5299

Other identifiers 1

IdentifierTypeStateIssuer
110H111840OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000325 MI Part B Supplier - Clinic/Group Practice 3779496856 Receives reassigned benefits from 2,340 practitioners
This NPI is an additional NPI on the enrollment
O20031121000236 MI Part B Supplier - Clinic/Group Practice 3779496856 Receives reassigned benefits from 95 practitioners
1 other NPI on this enrollment
Practice locations: Ann Arbor, MI; Rochester Hills, MI; Northville, MI; Livonia, MI; Canton, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Chelsea Internal Medici157 organizations share this tax ID, including this one
Part of
Chelsea Internal Medici

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Ownership & related parties

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of Michigan Health-Sparrow EatonCharlotte, MI, CCN 231327 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health - WestWyoming, MI, CCN 230236 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 15, 2016
University of Michigan Health-Sparrow LansingLansing, MI, CCN 230230 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow IoniaIonia, MI, CCN 231331 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-SparrowLansing, MI, CCN 23T230 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2024
University of Michigan Health-SparrowCarson City, MI, CCN 230208 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
Chelsea HospitalChelsea, MI, CCN 230259 Hospital 5% Or Greater Direct Ownership Interest (49%) Jul 1, 2018
Chelsea HospitalChelsea, MI, CCN 23T259 Hospital 5% Or Greater Direct Ownership Interest (49%) Jul 1, 2018
University of Michigan Health-SparrowSaint Johns, MI, CCN 23Z326 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow CarsonCarson City, MI, CCN 23U208 Hospital 5% Or Greater Indirect Ownership Interest (100%) Mar 1, 2025
University of Michigan Health-SparrowLansing, MI, CCN 231519 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow IoniaIonia, MI, CCN 238550 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-SparrowGreenville, MI, CCN 233996 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow Ithaca Primary CareIthaca, MI, CCN 238517 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-SparrowStanton, MI, CCN 238574 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow Portland Primary CarePortland, MI, CCN 238631 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023
University of Michigan Health-Sparrow Saranac Primary CareSaranac, MI, CCN 238698 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2023

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617408000000",
    "number": "1003848144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF MICHGIAN",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-04-03",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-936-3568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110H111840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.