Active NPI
Regents of the University of Michigan
- Internal Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
- Jul 4, 2006
- Last updated
- Apr 30, 2021
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Magnetic Resonance Imaging (MRI) Internal Medicine Physician | 207RM1200X | |||
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | |||
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Provider Enrollment
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110H176130 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000325 | MI | Part B Supplier - Clinic/Group Practice | 3779496856 |
Receives reassigned benefits from 2,340 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
1500 E Medical Center Dr
#3
Ann Arbor, MI 48109
Phone (734) 763-2532
375 Briarwood Cir
Bldg 3
Ann Arbor, MI 48108
Phone (734) 998-7207
700 Woodland Dr
Saline, MI 48176
Phone (734) 429-2302
Practitioners & affiliated clinicians
Practitioners 168
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Urology Physician
- Ann Arbor, MI
- NPI 1629092713
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1821448093
-
- Internal Medicine Physician
- Canton, MI
- NPI 1437684909
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1942721758
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1760860563
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1285052555
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1508472143
-
- Internal Medicine Physician
- Canton, MI
- NPI 1376994616
-
- Geriatric Medicine (Internal Medicine) Physician
- Ann Arbor, MI
- NPI 1497376511
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1306004759
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1164047494
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1164488805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619740800000",
"number": "1366472326",
"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": "481081633",
"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": "2006-07-04",
"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": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RM1200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "110H176130",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
- Regents of the University of Michigan (MedEQUIP)
- Regents of the University of Michigan (HomeMed)
- 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 (East Ann Arbor Pharmacy)
- Regents of the University of Michigan (University of Michigan Health)
- Regents of the University of Michigan
- Regents of the University of Michigan
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.