Active NPI
Malihe Rezazadegan, M.D
- Internal Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301099748
- Practice address
- 24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484 - Phone
- (734) 747-6766
- NPI assigned
- Apr 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 4301099748 | MI | Primary |
Addresses
Primary practice location
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Mailing address
48519 Binghampton Dr
Northville, MI 48168-9663
Phone (248) 982-6856
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
- Hospitalist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099748 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians-Michigan PLLC | Internal Medicine | Current | Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Sparrow Ionia Hospital | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians-Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
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
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
5325 Elliott Dr
Ste 203
Ypsilanti, MI 48197
Phone (734) 712-8020
Organizations & group practices 11
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.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Multi-Specialty Clinic/Center
- Saint Johns, MI
- NPI 1306893078
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Family Medicine Physician
- Clinton, MI
- NPI 1992852594
Internal Medicine
-
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Internal Medicine
-
- Internal Medicine Physician
- Grayling, MI
- NPI 1639311996
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1154563369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48519 BINGHAMPTON DR",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689663",
"telephone_number": "248-982-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZAZADEGAN",
"first_name": "MALIHE",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-02",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301099748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.