Active NPI
Karl Julius Edelmann, MD
- Family Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301406952
- Practice address
- 3820 Packard St Ste 130
Ann Arbor, MI 48108-5000 - Phone
- (734) 747-8500
- Fax
- (734) 747-8547
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 4301406952 | MI | Primary |
Addresses
Primary practice location
3820 Packard St Ste 130
Ann Arbor, MI 48108-5000
Mailing address
3820 Packard St Ste 130
Ann Arbor, MI 48108-5000
Phone (734) 747-8500
Other practice location 1
212 S Main St Fl 2
Brooklyn, MI 49230-9114
Phone (517) 592-4847
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808108511 | Other | MI | BCBS MICHIGAN |
| 4352271 | Medicaid | MI | |
| 080180465 | Other | MI | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | karl.edelmann.1@20381.direct.athenahealth.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Michigan Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3820 Packard St
Suite 130
Ann Arbor, MI 48108-5000
Phone (734) 747-8500
Hospital & facility affiliations
- Henry Ford Allegiance Health
- Trinity Health Ann Arbor Hospital
- University of Michigan Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301406952 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personalized Family Practice, PLLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- aafckjemd@aafc.gwaydirect.com
- karl.edelmann.1@20381.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1568636983
-
- Family Medicine Physician
- Brooklyn, MI
- NPI 1699279232
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1285632216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 PACKARD ST STE 130",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481085000",
"telephone_number": "734-747-8500",
"fax_number": "734-747-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 PACKARD ST STE 130",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481085000",
"telephone_number": "734-747-8500",
"fax_number": "734-747-8547"
}
],
"practiceLocations": [
{
"address_1": "212 S Main St Fl 2",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "MI",
"postal_code": "492309114",
"country_code": "US",
"telephone_number": "517-592-4847",
"fax_number": "517-938-8679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDELMANN",
"first_name": "KARL",
"middle_name": "JULIUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301406952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MICHIGAN",
"identifier": "0808108511",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4352271",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080180465",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "karl.edelmann.1@20381.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "athenahealth supplied direct email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure communication",
"address_1": "3820 Packard St Ste 130",
"city": "Ann Arbor",
"state": "MI",
"country_code": "US",
"postal_code": "481085000",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 13, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.