Active NPI
Julia Hermanowski
- Geriatric Medicine (Internal Medicine) Physician
- Ann Arbor, MI
National Provider Identifier
1285052431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 4301114179
- Practice address
- 2215 Fuller Rd
Ann Arbor, MI 48105-2303 - Phone
- (734) 739-7000
- NPI assigned
- Apr 4, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301114179 | MI | Primary |
| Internal Medicine Physician | 207R00000X | 56692 | CT |
Addresses
Primary practice location
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Mailing address
163 Veterans Dr
White River Junction, VT 05001-7005
Phone (802) 295-9363
Other practice location 1
1200 S Detroit Ave
Toledo, OH 43614-5903
Phone (419) 259-2000
Other practice location 2
163 Veterans Dr
White River Junction, VT 05001-7005
Phone (802) 295-9363
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301114179 | Medicaid | MI | |
| 1285052431 | Medicaid | CT |
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 |
|---|---|---|---|---|
| I20240409002325 | MI | Order and Referring Only - Internal Medicine | 0941507024 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301114179 | MI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windsor Hospital Corporation | Internal Medicine | 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.
-
dba Mt Ascutney Hospital and Health Center
- Internal Medicine Physician
- Windsor, VT
- NPI 1841287984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1285052431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 VETERANS DR",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050017005",
"telephone_number": "802-295-9363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 FULLER RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052303",
"telephone_number": "734-739-7000"
}
],
"practiceLocations": [
{
"address_1": "1200 S Detroit Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436145903",
"country_code": "US",
"telephone_number": "419-259-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "163 Veterans Dr",
"address_purpose": "LOCATION",
"city": "White River Junction",
"state": "VT",
"postal_code": "050017005",
"country_code": "US",
"telephone_number": "802-295-9363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERMANOWSKI",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301114179",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "56692",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4301114179",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285052431",
"state": "CT"
}
],
"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 Apr 27, 2026; 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.