Active NPI
Michael Robert Todd, M.D.
- Surgery Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301094103
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02695563 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TN, WA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226727-1 | NY | MD | Surgery Physician |
| MD61225865 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| West Tennessee Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Grays Harbor Community Hospital | Family Medicine | Current | Accepting new patients |
| USA Vascular Center of Tennessee PLLC | Current | Accepting new patients | |
| GHCH Physician Services, LLC | Family Medicine | Current | Accepting new patients |
| USA Vein Clinics of Tennessee PLLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| USA Vascular Center of Decatur LLC | Family Medicine | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Georgia Phlebology PC | Surgery | Current | Accepting new patients |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| USA Vein Clinics of Decatur LLC | Family Medicine | Current | 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
- 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.
-
dba Cookeville Regional Physicians
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
- Surgery Physician
- Alpharetta, GA
- NPI 1598701450
-
dba Harbor Medical Group
- Surgery Physician
- Aberdeen, WA
- NPI 1326217670
Family Medicine
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Vascular Surgery Physician
- Decatur, GA
- NPI 1487133278
Family Medicine
-
- Vascular Surgery Physician
- Decatur, GA
- NPI 1912301003
Family Medicine
-
- Vascular Surgery Physician
- Brentwood, TN
- NPI 1366139859
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
Family Medicine
-
- Surgical Critical Care Physician
- Salt Lake City, UT
- NPI 1992587778
-
dba Cookeville Regional Medical Center Inpatient Rehabilitation Center
- Rehabilitation Hospital Unit
- Cookeville, TN
- NPI 1639293483
-
dba GHCH Hoquiam Clinic
- Obstetrics & Gynecology Physician
- Hoquiam, WA
- NPI 1134597693
Family Medicine
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.