Active NPI
Tamara Pelish, M.D.
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
National Provider Identifier
1114995644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301046088
- Practice address
- 4940 W Clark Rd
Suite 100
Ypsilanti, MI 48197-0860 - Phone
- (734) 434-0477
- Fax
- (734) 434-6240
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301046088 | MI | Primary |
Addresses
Primary practice location
4940 W Clark Rd
Suite 100
Ypsilanti, MI 48197-0860
Mailing address
2100 Commonwealth Blvd
Suite 202
Ann Arbor, MI 48105-1593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114995644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 COMMONWEALTH BLVD",
"address_2": "SUITE 202",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 W CLARK RD",
"address_2": "SUITE 100",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481970860",
"telephone_number": "734-434-0477",
"fax_number": "734-434-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELISH",
"first_name": "TAMARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301046088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.