Individual provider Active NPI

Rebecca Lynn Prepejchal, MD

  • Emergency Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1144348038
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301086184 Issued in MI
Practice address
2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598
Phone
(734) 686-6361
Fax
(734) 661-0730
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301086184 MI Primary

Addresses

Primary practice location

2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598

Mailing address

2883 Ticknor CT
Ann Arbor, MI 48104-6921
Phone (734) 971-4616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rprepejchal23975@direct.trinity-health.org Direct

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
I20090709000686 MI Practitioner - Emergency Medicine 4587716279 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086184MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Community Hospital CurrentSince Feb 26, 2020 Accepting new patients
Chelsea Community Hospital Current Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
St Joseph Mercy Hospital CurrentSince Apr 15, 2014 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
St Joseph Mercy Hospital Emergency Medicine CurrentSince Apr 15, 2014 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients

Locations

2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764

1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1144348038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 TICKNOR CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046921",
            "telephone_number": "734-971-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GREEN RD",
            "address_2": "SUITE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051598",
            "telephone_number": "734-686-6361",
            "fax_number": "734-661-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREPEJCHAL",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301086184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rprepejchal23975@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "st joseph mercy hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccd",
            "address_1": "2883 Ticknor Ct",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481046921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.