Active NPI
Carissa Aurora Orizondo, M.D.
- Family Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301102289
- Practice address
- 1801 Briarwood Cir
Ann Arbor, MI 48108-3347 - Phone
- (734) 998-7390
- Fax
- (734) 998-7763
- NPI assigned
- Jun 10, 2010
- Last updated
- May 3, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125057982 | IL | |
| Family Medicine Physician | 207Q00000X | 4301102289 | MI | Primary |
Addresses
Primary practice location
1801 Briarwood Cir
Ann Arbor, MI 48108-3347
Mailing address
3621 South State Street
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
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
- University of Michigan Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14700 E Old US Hwy 12
Chelsea, MI 48118-1185
Phone (734) 539-5000
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Phone (734) 539-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125057982 | IL | MD | Family Medicine Physician |
| 4301102289 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Family Medicine | Current | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
#700
Ann Arbor, MI 48108
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
1801 Briarwood Cir
Ann Arbor, MI 48108
Phone (734) 539-5000
14700 E Old US Highway 12
Chelsea, MI 48118
Phone (734) 475-1321
200 Arnet St
Ste 150
Ypsilanti, MI 48198
Phone (734) 985-7200
Interoperability endpoints
- carissa.orizondo.1@4327.direct.athenahealth.com
- corizondo368190@direct.med.umich.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1669402848
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1124348321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 SOUTH STATE STREET",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 BRIARWOOD CIR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083347",
"telephone_number": "734-998-7390",
"fax_number": "734-998-7763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORIZONDO",
"first_name": "CARISSA",
"middle_name": "AURORA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125057982",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301102289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
- Daniel Stephen Oram, M.D.
- Piroska Orban, PA
- Rachel Marie Orfei, AGCNS-BC
- Organ Procurement Agency of Michigan (Gift of Life Michigan)
- Organ Procurement Agency of Michigan (Gift of Life Michigan)
- Jeremy Charles Orlando, PT, DPT
- Laurel Marie Demarois Orlando
- Elizabeth Ann Orlowski, NP
- Nina Orlowski, LLMSW
- Andrew Michael Orosan-Weine, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.