Regents of the University of Michigan

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

REGENTS OF THE UNIVERSITY OF MICHIGAN

Practice address

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Phone

(734) 936-4000

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

David Christopher Miller

Title

President

Phone

(734) 936-3568

Specialties & licenses 13

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Regents of the University of Michigan

  • Audiologist
  • Ann Arbor, MI
  • NPI 1013352046

  O20031117000199

  Same enrollment
• Regents of the University of Michigan

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1033133525

  O20031117000199

  Same enrollment
• Regents of the University of Michigan

  • Anatomic Pathology & Clinical Pathology Physician
  • Ann Arbor, MI
  • NPI 1508890468

  O20031117000199

  Same enrollment

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 112

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith Evelyn Adams, MD

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1609992254
  Medicare reassignment Care Compare group NPD
• Renee Michelle Banakis Hartl, MD

  • Otology & Neurotology Physician
  • Ann Arbor, MI
  • NPI 1215172259
  Medicare reassignment Care Compare group NPD
• Batoul Berri, AUD

  • Audiologist
  • Ann Arbor, MI
  • NPI 1992318919
  Medicare reassignment Care Compare group NPD
• Marisa Rae Buchakjian, MD

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1699068122

  Sleep Medicine

  Medicare reassignment Care Compare group NPD
• Keith Andrew Casper, MD

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1932310224
  Medicare reassignment Care Compare group NPD
• Megan Miller Cherry, AUD.

  • Audiologist
  • Ann Arbor, MI
  • NPI 1023494242
  Medicare reassignment Care Compare group NPD
• David Wa Forner, MD MSC FRCSC

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1447936554
  Medicare reassignment Care Compare group NPD
• Shaleta Elaine Gibson, AUD

  • Audiologist
  • Ann Arbor, MI
  • NPI 1700228236
  Medicare reassignment Care Compare group NPD
• Amarbir Singh Gill, MD

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1114312527
  Medicare reassignment Care Compare group NPD
• Jeffrey Tan Gu, MD

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1225533110
  Medicare reassignment Care Compare group NPD
• Molly Elaine Heft Neal, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Ann Arbor, MI
  • NPI 1457700825
  Medicare reassignment Care Compare group NPD
• Katherine DO Heidenreich, MD

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1487746178
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1326307489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-936-3568"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regents of the University of Michigan
• Regents of the University of Michigan
• Regents of the University of Michigan
• Regents of the University of Michigan
• Regents of the University of Michigan
• Regents of the University of Michigan
• Regents of the University of Michigan
• Regents of the University of Michigan
• Regents of the University of Michigan
• Regents of the University of Michigan

• Sleep Medicine (Internal Medicine) Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Sleep Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.