Individual provider Active NPI

Kaitlyn Ann Arbour, MD, MPH, MS

  • Neonatal-Perinatal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1225666407
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
4301511325 Issued in MI
Practice address
1540 E Hospital Dr SPC 4254
Ann Arbor, MI 48109-4254
Phone
(734) 763-4109
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 4301511325 MI Primary

Addresses

Primary practice location

1540 E Hospital Dr SPC 4254
Ann Arbor, MI 48109-4254

Mailing address

1540 E Hospital Dr SPC 4254
Ann Arbor, MI 48109-4254
Phone (734) 763-4109

Other practice location 1

1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-2329

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
I20240715003724 MI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2668917592

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: karbour109819@direct.phhs.org

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1225666407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 E HOSPITAL DR SPC 4254",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094254",
            "telephone_number": "734-763-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E HOSPITAL DR SPC 4254",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094254",
            "telephone_number": "734-763-4109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Medical District Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357701",
            "country_code": "US",
            "telephone_number": "214-456-2329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARBOUR",
        "first_name": "KAITLYN",
        "middle_name": "ANN",
        "credential": "MD, MPH, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301511325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.