Individual provider Active NPI

Sara Elizabeth Tweedy, MD, PHD

  • Anatomic Pathology Physician
  • Ann Arbor, MI
National Provider Identifier
1033904552
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
4351054451 Issued in MI
Practice address
2800 Plymouth Rd BLDG 35-1411
Ann Arbor, MI 48109-2800
Phone
(734) 764-3270
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology Physician 207ZP0101X 4351054451 MI Primary

Addresses

Primary practice location

2800 Plymouth Rd BLDG 35-1411
Ann Arbor, MI 48109-2800

Mailing address

774 Dellwood Dr
Ann Arbor, MI 48103-2815
Phone (734) 635-2673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502001966 MI Order and Referring Only - PathologyPractitioner - Pathology 9436676434

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1033904552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 DELLWOOD DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032815",
            "telephone_number": "734-635-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PLYMOUTH RD BLDG 35-1411",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092800",
            "telephone_number": "734-764-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEEDY",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MI",
            "license": "4351054451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.