Active NPI
Iha Health Services Corporation
Doing business as IHA Family and Internal Medicine- West Arbor
- Family Medicine Physician
- Ann Arbor, MI
National Provider Identifier
1366599409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- IHA HEALTH SERVICES CORPORATION
- Doing business as
- IHA Family and Internal Medicine- West Arbor
IHA West Arbor Primary Care - Practice address
- 4350 Jackson Rd
Suite 200
Ann Arbor, MI 48103-1889 - Phone
- (734) 761-2581
- Fax
- (734) 761-9540
- NPI assigned
- Jan 4, 2007
- Last updated
- Mar 24, 2026
- 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
- Cynthia Elliott
- Title
- VP/Chief Operatng Officer
- Phone
- (734) 747-6766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4350 Jackson Rd
Suite 200
Ann Arbor, MI 48103-1889
Mailing address
24 Frank Lloyd Wright Dr
PO Box 0446 Lobby J
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other names 2
- IHA Family and Internal Medicine- West Arbor
- IHA West Arbor Primary Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040108000355 | MI | Part B Supplier - Clinic/Group Practice | 2466351440 |
Receives reassigned benefits from 1,696 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 21
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.
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1639607559
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1740779479
-
- Family Nurse Practitioner
- Ann Arbor, MI
- NPI 1952274847
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1922452762
-
- Family Medicine Physician
- Van Buren Township, MI
- NPI 1851516009
-
- Family Medicine Physician
- Fenton, MI
- NPI 1013995125
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1184016214
-
- Nurse Practitioner
- Adrian, MI
- NPI 1821460445
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1992965651
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1689202616
-
- Family Medicine Physician
- New Hudson, MI
- NPI 1235496951
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1023684412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1366599409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR",
"address_2": "PO BOX 0446 LOBBY J",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766",
"fax_number": "734-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 JACKSON RD",
"address_2": "SUITE 200",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031889",
"telephone_number": "734-761-2581",
"fax_number": "734-761-9540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHA HEALTH SERVICES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "VP/CHIEF OPERATNG OFFICER",
"authorized_official_telephone_number": "734-747-6766"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "IHA Family and Internal Medicine- West Arbor",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "IHA West Arbor Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ann Arbor, MI
- Iha Health Services Corporation
- Iha Health Services Corporation (IHA Primary Pediatrics)
- Iha Health Services Corporation
- Iha Health Services Corporation (IHA Ann Arbor OB /Gyn)
- Iha Health Services Corporation
- Iha Health Services Corporation
- Iha Health Services Corporation (IHA Domino's Farms Primary Care)
- Iha Health Services Corporation (Trinity Health IHA Medical Group Pediatrics)
- Iha Health Services Corporation
- Iha Health Services Corporation (IHA WestArbor Internal Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.