Maryam A Berri, M.D.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Ann Arbor, MI
NPI 1396189643 · NPPES record last updated Dec 4, 2018
Key facts
- NPI
- 1396189643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 4301103383 (MI)
- Practice address
- 325 East Eisenhower
Suite 100
Ann Arbor, MI 48108-5744 - Phone
- (734) 936-7175
- NPI assigned
- Apr 17, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Regents of the University of Michigan
Practice addresses (Care Compare)
1500 E Medical Ctr
Suite 0331
Ann Arbor, MI 48109-0999
Phone (734) 936-5738
1500 E Medical Ctr 2ND Floor Rec
Taubman Center
Ann Arbor, MI 48109-0999
Phone (734) 936-5020
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-0999
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
1500 E Medical Ctr Dr 1St FL
Taubman Ctr Rec D
Ann Arbor, MI 48109-5000
Phone (734) 936-4185
1500 E Medical Ctr Dr 1St FL Rec D
Taubman Center
Ann Arbor, MI 48109-5000
Phone (734) 764-5175
1500 E Medical Ctr Dr 1St FL Rec F
Mott Hospital
Ann Arbor, MI 48109-5000
Phone (734) 764-5176
1500 E Medical Ctr Dr 1St Flo
Ann Arbor, MI 48109-0999
1500 E Medical Ctr Dr 1St Floor
Ann Arbor, MI 48109-0999
1500 E Medical Ctr Dr 2ND LR
Med Inn
Ann Arbor, MI 48109-0999
Phone (734) 763-5459
1500 E Medical Ctr Dr 3Rd FL Taubma
Ann Arbor, MI 48109-5000
Phone (734) 647-7321
1500 E Medical Ctr Dr B2 Floor R
Cancer and Geriatrics Center
Ann Arbor, MI 48109-0999
Phone (734) 936-6274
1500 E Medical Ctr Dr Level B
Cancer and Geriatrics Center
Ann Arbor, MI 48109-0999
Phone (734) 647-8901
325 E Eisenhower Pkwy
Ann Arbor, MI 48108-3364
Phone (734) 763-5459
775 S Main St
Chelsea, MI 48118-1383
Phone (734) 936-7175
Hospital & facility affiliations
- University of Michigan Health System
- Chelsea Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181002001614 | MI | Practitioner - Physical Medicine and Rehabilitation | 6507168457 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301103383 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Regents of the University of Michigan | Current |
Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823
325 E Eisenhower Pkwy
Ste 100
Ann Arbor, MI 48108
Phone (734) 763-5459
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
325 E Eisenhower Pkwy
Ann Arbor, MI 48108
Phone (734) 615-7246
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
Interoperability endpoints
- mberri752486@direct.trinity-health.org
- mberri709815@direct.med.umich.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | 4301103383 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301103383 | MI | Yes |
Addresses
Primary practice location
325 East Eisenhower
Suite 100
Ann Arbor, MI 48108-5744
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 375-7227
Other providers in Ann Arbor, MI
- Hannah Bernstein
- Steven J Bernstein
- Johnny Berona
- Batoul Berri
- Hassen Mohamed Berri
- Reem Berri
- Emily Berriman
- Natalie Kathleen Morris Berriz
- Dana Stephens Berry-Richardson
- Adam Berry
All providers in Ann Arbor, MI · Physical Medicine & Rehabilitation Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.