Individual provider Active NPI

Michael Nithiphaisal Yu, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Grand Blanc, MI
National Provider Identifier
1174506190
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
5101013110 Issued in MI
Practice address
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone
(810) 606-6137
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34C.000532 OH
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 5101013110 MI Primary
Emergency Medicine Physician 207P00000X 5101013110 MI
Emergency Medicine Physician 207P00000X 40039 NH

Addresses

Primary practice location

1 Genesys Pkwy
Grand Blanc, MI 48439-8065

Mailing address

Dept CH 17767
Palatine, IL 60055-7767
Phone (800) 968-6866

Other practice location 1

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

Other identifiers 5

IdentifierTypeStateIssuer
MY013110OtherBLUE CROSS BLUE SHIELD
4253184MedicaidMI
930109721OtherRAILROAD MEDICARE
4253175MedicaidMI
4253193MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ME, IL, OH, DE5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20060217000349 MI Practitioner - Emergency Medicine 0840205472 Reassigns benefits to 6 organizations
I20240923002147 ME Practitioner - Emergency Medicine 0840205472 Reassigns benefits to 3 organizations
I20241107000859 IL Practitioner - Emergency Medicine 0840205472
I20251104001989 OH Practitioner - Emergency Medicine 0840205472 Reassigns benefits to 1 organization
I20251120002196 DE Practitioner - Emergency Medicine 0840205472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Bayhealth Emergency Physicians LLCGroup PAC ID 7719240696, 80 clinicians

Practice addresses (Care Compare)

2110 S M
76 Suite 1
West Branch, MI 48661-8821
Phone (989) 516-5075

640 S State St
Bayhealth Emergency Physicians KGH
Dover, DE 19901-3530
Phone (302) 744-6156

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34C.000532OHMDEmergency Medicine Physician
5101013110MIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince Sep 9, 2024 Accepting new patients
Bridgton Hospital CurrentSince Sep 9, 2024 Accepting new patients
Rumford Hospital CurrentSince Sep 9, 2024 Accepting new patients
Bayhealth Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 30, 2025 Accepting new patients
Emergency Physician Associates of Ohio, Inc Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Sep 9, 2024 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Oct 15, 2012 Accepting new patients
Rumford Hospital CurrentSince Sep 9, 2024 Accepting new patients
McLaren Medical Group Emergency Medicine CurrentSince Nov 30, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Oct 1, 2025 Accepting new patients
Michigan Emergency Physicians, LLP Emergency Medicine Current Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Central Maine Medical Center CurrentSince Sep 9, 2024 Accepting new patients
McLaren Medical Group CurrentSince Nov 30, 2024 Accepting new patients
Bayhealth Medical Center, Inc. Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Michigan Emergency Physicians LLP Emergency Medicine CurrentSince Nov 1, 2012 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Nov 14, 2017 Accepting new patients
Emergency Medicine Physicians of Genesee County, PLLC Emergency Medicine Past Accepting new patients
Observation Medicine Group PLLC Emergency Medicine Past Accepting new patients
Statcare PC Emergency Medicine Past Accepting new patients
Sturgis Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Obscare PC Emergency Medicine Past Accepting new patients
Michigan Counseling Collaborative PastSince Aug 25, 2024 Accepting new patients
Stat Care PC Emergency Medical Services Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18383 Hudson Rd
Milton, DE 19968
Phone (302) 725-3499

401 N Carter Rd
Ste 101
Smyrna, DE 19977
Phone (302) 659-2190

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

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

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

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

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

2110 S M 76
Ste 1
West Branch, MI 48661
Phone (989) 516-5074

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: myu7379@mymichiganhealth.midirect.net

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 4

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1174506190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 17767",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600557767",
            "telephone_number": "800-968-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "810-606-6137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-5461",
            "fax_number": "603-356-9048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "MICHAEL",
        "middle_name": "NITHIPHAISAL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34C.000532",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "5101013110",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101013110",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "40039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "MY013110",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4253184",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930109721",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4253175",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4253193",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.