Active NPI
Noshir Yazdi Amaria, D.O.
- Sports Medicine (Family Medicine) Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 5101019321
- Practice address
- 207 Fletcher St
Ann Arbor, MI 48109-1050 - Phone
- (734) 764-8320
- NPI assigned
- Jul 7, 2011
- Last updated
- Jun 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 5101019321 | MI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 5101019321 | MI | Primary |
Addresses
Primary practice location
207 Fletcher St
Ann Arbor, MI 48109-1050
Mailing address
207 Fletcher St
Ann Arbor, MI 48109-1050
Phone (734) 764-8320
Other practice location 1
202 Foust Hall
MT Pleasant, MI 48859-1811
Phone (989) 774-7585
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019321 | MI | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Regents of the University of Michigan-Uhs-University Health Ser | Adult Medicine | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
207 Fletcher St
Ann Arbor, MI 48109
Phone (734) 764-8320
207 Fletcher St
Rm 0
Ann Arbor, MI 48109
207 Fletcher St
Rm 245G
Ann Arbor, MI 48109
Phone (734) 763-9631
2900 Hannah Blvd
East Lansing, MI 48823
Phone (517) 336-4520
1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University of Michigan Health-Sparrow
- Sports Medicine (Internal Medicine) Physician
- East Lansing, MI
- NPI 1598145997
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1265610570
Adult Medicine
-
dba University of Michigan Health-Sparrow
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
Family Medicine
-
dba Sparrow Family Medicine Residency Central
- Family Medicine Physician
- Mason, MI
- NPI 1083668545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1033406368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 FLETCHER ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481091050",
"telephone_number": "734-764-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FLETCHER ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481091050",
"telephone_number": "734-764-8320"
}
],
"practiceLocations": [
{
"address_1": "202 Foust Hall",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "MI",
"postal_code": "488591811",
"country_code": "US",
"telephone_number": "989-774-7585",
"fax_number": "989-774-7590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMARIA",
"first_name": "NOSHIR",
"middle_name": "YAZDI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MI",
"license": "5101019321",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "5101019321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.