Active NPI
Kaitlyn Ann Arbour, MD, MPH, MS
- Neonatal-Perinatal Medicine Physician
- Ann Arbor, MI
National Provider Identifier
1225666407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 4301511325
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240715003724 | MI | Order and Referring Only - Pediatric Medicine | 2668917592 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
Interoperability endpoints
- 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
- Arbor Psychology Group North Campus PLLC
- Arbor Therapy Solutions
- Arbor Wellness Center, PLLC
- Arbor West Chiropractic Center P.C.
- Arborheart Counseling, LLC
- Arcadio V Ramirez MD PC
- Erica Lynn Archer, M.D.
- Steven M Archer, MD
- Architects of Movement Physical Therapy and Wellness, LLC
- Rita McQuade Ardan, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.