Active NPI
Ankoor Bharat Soni, M.D.
- Family Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301102744
- Practice address
- 3174 Packard St
Ann Arbor, MI 48108-1947 - Phone
- (734) 971-1073
- Fax
- (734) 971-8545
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD19383 | ME | |
| Family Medicine Physician | 207Q00000X | 4301102744 | MI | Primary |
Addresses
Primary practice location
3174 Packard St
Ann Arbor, MI 48108-1947
Mailing address
3174 Packard St
Ann Arbor, MI 48108-1947
Phone (734) 971-1073
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Arnet St
Suite 150
Ypsilanti, MI 48198-5735
Phone (734) 985-7200
Hospital & facility affiliations
- Elara Caring
- University of Michigan Health System
- Trinity Health Ann Arbor Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19383 | ME | MD | Family Medicine Physician |
| 4301102744 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Packard Health, Inc. | Current | Accepting new patients | |
| Packard Health, Inc. | Current | Accepting new patients | |
| Packard Health, Inc. | Past | Accepting new patients |
Locations
3174 Packard St
Ann Arbor, MI 48108
Phone (734) 971-1073
312 W Huron St
Ann Arbor, MI 48103
Phone (734) 662-2829
200 Arnet St
Ste 150
Ypsilanti, MI 48198
Phone (734) 985-7200
200 Arnet St
Ypsilanti, MI 48198
Phone (734) 482-6221
Interoperability endpoints
- https://arrprd.metrohealth.net/fhir/api/FHIR/R4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Ann Arbor, MI
- NPI 1609988245
-
- Federally Qualified Health Center (FQHC)
- Ypsilanti, MI
- NPI 1205538584
-
- Federally Qualified Health Center (FQHC)
- Ann Arbor, MI
- NPI 1922491760
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1043474745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3174 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081947",
"telephone_number": "734-971-1073",
"fax_number": "734-971-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3174 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081947",
"telephone_number": "734-971-1073",
"fax_number": "734-971-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONI",
"first_name": "ANKOOR",
"middle_name": "BHARAT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD19383",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301102744",
"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 Aug 6, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.