Individual provider Active NPI

Matthew B Ajluni, DO

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1124072400
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015506 Issued in MI
Practice address
4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone
(734) 995-0308
Fax
(734) 995-0425
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036113084 IL
Family Medicine Physician 207Q00000X OS025203C PA
Family Medicine Physician 207Q00000X 5101015506 MI Primary

Addresses

Primary practice location

4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105

Mailing address

24 Frank Lloyd Wright Dr
PO Box 0446 Lobby J
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Other practice location 1

1205 Langhorne Newtown Rd Ste 102B
Langhorne, PA 19047-1220
Phone (215) 710-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130125000131 MI Practitioner - Family Practice 5890710669 Reassigns benefits to 1 organization
I20250728001443 PA Practitioner - Family Practice 5890710669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

1065 N Huron River Dr
Ypsilanti, MI 48197-3296

1255 E M
Pinckney, MI 48169-8133
Phone (734) 878-1000

128 Van Buren St
Chelsea, MI 48118-1623
Phone (734) 475-8677

14288 E Old US Hwy 12
Chelsea, MI 48118-2700

1600 S Canton Ctr Rd
Canton, MI 48188-1992

2006 Holton Rd
Suite 500
Muskegon, MI 49445-1505
Phone (231) 370-1280

202 W Highland Rd
Howell, MI 48843-1162

212 S Main St
Brooklyn, MI 49230-9114

2305 Genoa Bus Park Dr
Brighton, MI 48114-7005

29370 Plymouth Rd
Suite 100
Livonia, MI 48150-2399
Phone (734) 844-5212

4200 Whitehall Dr
Ann Arbor, MI 48105-9694

4400 Highland Rd
Waterford, MI 48328-1222
Phone (248) 618-6000

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

5505 S Old US
Brighton, MI 48116-7524

5505 S Old US 23
101 Thimg Lifestyle Medicine Primary Care E
Brighton, MI 48116-7524
Phone (734) 887-7888

5789 S Main St
Clarkston, MI 48346-2959

7115 E Michigan Ave
Suite 200
Saline, MI 48176-2700
Phone (734) 977-0013

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036113084ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jul 15, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Service Corporation CurrentSince Jan 1, 2013 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jul 15, 2025 Accepting new patients
Iha Health Services Corporation Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Rehab Services Roosevelt, S.C. Family Medicine Past Accepting new patients
Swedish Covenant Management Services, Inc Emergency Medicine Past Accepting new patients
Broadway Medical Group Past Accepting new patients
Iha Health Services Corporation Past Accepting new patients
Iha Health Services Corporation Past Accepting new patients
Rehab Services Stoney Island, S.C. Family Medicine Past Accepting new patients

Locations

4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone (734) 995-0308

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

7575 Grand River Rd
Ste 208
Brighton, MI 48114
Phone (810) 844-7740

49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000

990 W Ann Arbor Trl
Ste 302
Plymouth, MI 48170
Phone (734) 414-1090

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5333 McAuley Dr
Rm 2115
Ypsilanti, MI 48197
Phone (734) 712-3971

4990 W Clark Rd
Ste 300
Ypsilanti, MI 48197
Phone (734) 434-0539

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • Direct secure messaging: majluni45560@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1124072400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR",
            "address_2": "PO BOX 0446 LOBBY J",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WHITEHALL DR",
            "address_2": "STE 150",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-995-0308",
            "fax_number": "734-995-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Langhorne Newtown Rd Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471220",
            "country_code": "US",
            "telephone_number": "215-710-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJLUNI",
        "first_name": "MATTHEW",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036113084",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS025203C",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.