Active NPI
Caleb Alan Haley, MD
- Student in an Organized Health Care Education/Training Program
- Ann Arbor, MI
National Provider Identifier
1356976435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 4351047514
- Practice address
- 1500 E Medical Center Dr
2130 Taubman Center, SPC 5340
Ann Arbor, MI 48109-5000 - Phone
- (734) 232-4765
- NPI assigned
- Mar 9, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351047514 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
2130 Taubman Center, SPC 5340
Ann Arbor, MI 48109-5000
Mailing address
1301 Catherine St
Ann Arbor, MI 48109-2026
Phone (734) 764-6317
Other practice location 1
1301 Catherine St
Ann Arbor, MI 48109-2026
Phone (734) 764-6317
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 |
|---|---|---|---|---|
| I20210603001059 | MI | Order and Referring Only - Plastic and Reconstructive Surgery | 3274932736 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1356976435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CATHERINE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481092026",
"telephone_number": "734-764-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"address_2": "2130 TAUBMAN CENTER, SPC 5340",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-232-4765"
}
],
"practiceLocations": [
{
"address_1": "1301 Catherine St",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481092026",
"country_code": "US",
"telephone_number": "734-764-6317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALEY",
"first_name": "CALEB",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-09",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351047514",
"primary": true
}
],
"identifiers": [],
"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 Jun 2, 2021; 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.