NPIMap

Organization Active NPI

Epmg of Michigan, P.C.

  • Emergency Medicine Physician
  • Livonia, MI
National Provider Identifier
1386688992
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EPMG OF MICHIGAN, P.C.
Practice address
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone
(954) 939-5000
Fax
(877) 250-6889
NPI assigned
Jun 15, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Daniel McGillicuddyNPI 1487691671
Title
Authorized Official
Phone
(617) 548-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

36475 5 Mile Rd
Livonia, MI 48154-1971

Mailing address

PO Box 782187
Philadelphia, PA 19178-2187
Phone (954) 939-5000

Other practice location 1

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (954) 939-5000

Other practice location 2

775 S Main St
Chelsea, MI 48118-1383
Phone (954) 939-5000

Other practice location 3

620 Byron Rd
Howell, MI 48843-1002
Phone (954) 939-5000

Other practice location 4

1200 State Cir
Ann Arbor, MI 48108-1691
Phone (954) 939-5000

Other practice location 5

7575 Grand River Rd
Brighton, MI 48114-9309
Phone (954) 939-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000686 MI Part B Supplier - Clinic/Group Practice 4789596339 Receives reassigned benefits from 261 practitioners
Practice locations: Ypsilanti, MI; Livonia, MI; Chelsea, MI; Brighton, MI; Howell, MI

National Provider Directory

National Provider Directory

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Locations

2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764

1600 S Canton Center Rd
Ste 140
Canton, MI 48188
Phone (734) 398-7550

517 Division Ave S
Grand Rapids, MI 49503
Phone (616) 459-8197

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

400 W Russell St
Saline, MI 48176
Phone (734) 429-1500

Practitioners & affiliated clinicians

Practitioners 394

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.

View all 394

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1386688992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782187",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191782187",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 McAuley Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971051",
            "country_code": "US",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181383",
            "country_code": "US",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Byron Rd",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488431002",
            "country_code": "US",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 State Cir",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081691",
            "country_code": "US",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149309",
            "country_code": "US",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPMG OF MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MCGILLICUDDY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "617-548-3555"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.