Individual provider Active NPI

Mariko Ching, MD

  • Student in an Organized Health Care Education/Training Program
  • Ann Arbor, MI
National Provider Identifier
1023792819
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
4351050578 Issued in MI
Practice address
1500 E. Medical Center Dr
TC B1380
Ann Arbor, MI 48109-5305
Phone
(734) 763-7919
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4351050578 MI Primary

Addresses

Primary practice location

1500 E. Medical Center Dr
TC B1380
Ann Arbor, MI 48109-5305

Mailing address

1500 E. Medical Center Dr
TC B1380
Ann Arbor, MI 48109-5305

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626002748 MI Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 9830557651

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Washington State University Elson S Floyd College of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 E Medical Ctr Dr
TC B1380
Ann Arbor, MI 48109-5305

4000 Wellness Dr
Midland, MI 48670-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4351050578MIMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1023792819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E. MEDICAL CENTER DR",
            "address_2": "TC B1380",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E. MEDICAL CENTER DR",
            "address_2": "TC B1380",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095305",
            "telephone_number": "734-763-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHING",
        "first_name": "MARIKO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351050578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.