Individual provider Active NPI

Karl Julius Edelmann, MD

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1285632216
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301406952 Issued in MI
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

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0808108511OtherMIBCBS MICHIGAN
4352271MedicaidMI
080180465OtherMIRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000469 MI Practitioner - Family PracticePractitioner - Geriatric Medicine 6901935436 Reassigns benefits to 1 organization

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 Hospital, Jackson, MI, CCN 230092
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301406952MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Family Practice, PLLC Family Medicine PastSince Jul 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aafckjemd@aafc.gwaydirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.