Individual provider Active NPI

Ankoor Bharat Soni, M.D.

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1043474745
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301102744 Issued in MI
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

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000773 MI Practitioner - Family Practice 0345492088 Reassigns benefits to 1 organization

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
Packard Health IncGroup PAC ID 6204876113, 20 clinicians

Practice addresses (Care Compare)

200 Arnet St
Suite 150
Ypsilanti, MI 48198-5735
Phone (734) 985-7200

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19383MEMDFamily Medicine Physician
4301102744MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Packard Health, Inc. CurrentSince Sep 1, 2013 Accepting new patients
Packard Health, Inc. CurrentSince Sep 1, 2013 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

  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.