Active NPI
Cynthia Baetz
- Family Medicine Physician
- Ann Arbor, MI
National Provider Identifier
1215904016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301068591
- Practice address
- 2004 Hogback Rd
Suite 14
Ann Arbor, MI 48105-9738 - Phone
- (734) 971-1188
- Fax
- (734) 971-3658
- NPI assigned
- Mar 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301068591 | MI | Primary |
Addresses
Primary practice location
2004 Hogback Rd
Suite 14
Ann Arbor, MI 48105-9738
Mailing address
2100 Commonwealth Blvd
Suite 202
Ann Arbor, MI 48105-1593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsea Family Physicians PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Chelsea, MI
- NPI 1851572879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215904016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 COMMONWEALTH BLVD",
"address_2": "SUITE 202",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 HOGBACK RD",
"address_2": "SUITE 14",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059738",
"telephone_number": "734-971-1188",
"fax_number": "734-971-3658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAETZ",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301068591",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.