Individual provider Active NPI

Michael Robert Todd, M.D.

  • Surgery Physician
  • Ann Arbor, MI
National Provider Identifier
1366404600
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301094103 Issued in MI
Practice address
1500 E Medical Center Dr
2ND Floor Taubman Center Recp F
Ann Arbor, MI 48109-5332
Phone
(734) 936-5738
NPI assigned
Apr 3, 2006
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301094103 MI Primary
Surgery Physician 208600000X MD61225865 WA
Surgery Physician 208600000X 226727-1 NY
Surgical Critical Care Physician 2086S0102X 4301094103 MI

Addresses

Primary practice location

1500 E Medical Center Dr
2ND Floor Taubman Center Recp F
Ann Arbor, MI 48109-5332

Mailing address

912 S Washington Ave
Ste 1
Saginaw, MI 48601-2578
Phone (734) 936-2047

Other identifiers 1

IdentifierTypeStateIssuer
02695563MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN, WA, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060504000687 NY Practitioner - General Surgery 9234149204
I20210922003450 TN Practitioner - General Surgery 9234149204 Reassigns benefits to 3 organizations
I20220303000701 WA Practitioner - General Surgery 9234149204 Reassigns benefits to 2 organizations
I20250417002939 GA Practitioner - General Surgery 9234149204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Specialty Associates of Utah PLLCGroup PAC ID 3476904442, 12 clinicians

Practice addresses (Care Compare)

1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 268-7111

3460 S 4155
West Valley City, UT 84120-5770
Phone (801) 964-3100

3580 W 9000
West Jordan, UT 84088-8812
Phone (801) 561-8888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226727-1NYMDSurgery Physician
MD61225865WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center CurrentSince Jan 18, 2023 Accepting new patients
West Tennessee Medical Group Inc Family Medicine CurrentSince Oct 7, 2023 Accepting new patients
Grays Harbor Community Hospital Family Medicine CurrentSince Jul 31, 2025 Accepting new patients
USA Vascular Center of Tennessee PLLC CurrentSince Jan 1, 2025 Accepting new patients
GHCH Physician Services, LLC Family Medicine CurrentSince Jul 31, 2025 Accepting new patients
USA Vein Clinics of Tennessee PLLC CurrentSince Jul 2, 2024 Accepting new patients
Multicare Health System CurrentSince Dec 1, 2021 Accepting new patients
USA Vascular Center of Decatur LLC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Georgia Phlebology PC Surgery CurrentSince Mar 1, 2025 Accepting new patients
Cookeville Regional Medical Center CurrentSince Jan 18, 2023 Accepting new patients
Multicare Health System CurrentSince Dec 1, 2021 Accepting new patients
USA Vein Clinics of Decatur LLC Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
St. John Physicians, Inc. Family Medicine Past Accepting new patients
Oasis Wellness LLC Surgery Past Accepting new patients

Locations

3875 Austell Rd
Ste 201A
Austell, GA 30106
Phone (470) 372-1901

3875 Austell Rd
Ste 201B
Austell, GA 30106
Phone (470) 372-1042

305 Brookhaven Ave NE
Ste B1180
Brookhaven, GA 30319
Phone (404) 705-9099

495 Winn Way
Ste 220
Decatur, GA 30030
Phone (404) 418-4328

495 Winn Way
Ste 230
Decatur, GA 30030
Phone (470) 237-4232

771 Old Norcross Rd
Lawrenceville, GA 30046
Phone (404) 778-6590

771 Old Norcross Rd
Ste 340C
Lawrenceville, GA 30046
Phone (678) 273-7506

1200 Johnson Ferry Rd
Ste T100
Marietta, GA 30068
Phone (404) 418-4648

304 Wainwright Dr
Ste 120
Northbrook, IL 60062

6570 Stage Rd
Ste 130
Bartlett, TN 38134

6570 Stage Rd
Ste 150A
Bartlett, TN 38134

9020 Overlook Blvd
Ste 150
Brentwood, TN 37027
Phone (615) 401-7162

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

145 W 4th St
Ste 201
Cookeville, TN 38501
Phone (931) 372-7716

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1006 N H St
Aberdeen, WA 98520
Phone (360) 537-6032

1211 Skyview Dr
Aberdeen, WA 98520
Phone (360) 532-3808

319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Interoperability endpoints

  • Direct secure messaging: mtodd466760@hisp.ehr.sutterhealth.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 1

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1366404600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S WASHINGTON AVE",
            "address_2": "STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012578",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "2ND FLOOR TAUBMAN CENTER RECP F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095332",
            "telephone_number": "734-936-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301094103",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61225865",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "226727-1",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301094103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02695563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.