Active NPI
Trevor Douglas Schack, MD
- Interventional Pain Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 4301092166
- Practice address
- 325 E Eisenhower Pkwy
Ann Arbor, MI 48108-3364 - Phone
- (734) 615-7246
- NPI assigned
- Jun 23, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301092166 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | ||
| Interventional Pain Medicine Physician | 208VP0014X | 4301092166 | MI | Primary |
Addresses
Primary practice location
325 E Eisenhower Pkwy
Ann Arbor, MI 48108-3364
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
1500 East Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109-5048
Phone (734) 936-4280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Wayne State University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1051 N Canton CNTR Rd
University of Michigan Med Peds Association
Ann Arbor, MI 48187-5097
Phone (734) 844-5400
1051 N Canton Ctr
Canton, MI 48187-5097
Phone (734) 844-5390
1051 N Canton Ctr Rd
Canton, MI 48187-5097
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 3Rd FL Taubma
Ann Arbor, MI 48109-5000
Phone (734) 647-7321
325 E Eisenhower Pkwy
Ann Arbor, MI 48108-3364
Phone (734) 763-5459
4260 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 764-6831
4270 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (888) 287-1082
7500 Challis Rd
Brighton, MI 48116-9416
Phone (810) 263-4000
8001 Challis Rd
Brighton, MI 48116-7446
Phone (810) 227-9510
Hospital & facility affiliations
- University of Michigan Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Anesthesiology | Current | Accepting new patients |
| Regents of the University of Michigan | Interventional Pain Medicine | Past | Accepting new patients |
Locations
3621 S State St
#700
Ann Arbor, MI 48108
325 E Eisenhower Pkwy
Ann Arbor, MI 48108
Phone (734) 615-7246
1500 E Medical Center Dr
#1H247
Ann Arbor, MI 48109
Phone (734) 936-4280
475 Market Pl
Ste B
Ann Arbor, MI 48108
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
475 Market Pl
Ann Arbor, MI 48108
Phone (734) 763-6295
325 E Eisenhower Pkwy
Ste 100
Ann Arbor, MI 48108
Phone (734) 763-5459
8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510
1051 N Canton Center Rd
Canton, MI 48187
Phone (734) 647-5670
Interoperability endpoints
- tschack50908@direct.med.umich.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Anesthesiology Physician
- Ann Arbor, MI
- NPI 1093767766
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Interventional Pain Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1396906327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"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": "325 E EISENHOWER PKWY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083364",
"telephone_number": "734-615-7246"
}
],
"practiceLocations": [
{
"address_1": "1500 East Medical Center Dr",
"address_2": "1H247 University Hospital",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095048",
"country_code": "US",
"telephone_number": "734-936-4280",
"fax_number": "734-936-9091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHACK",
"first_name": "TREVOR",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301092166",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MI",
"license": "4301092166",
"primary": true
}
],
"identifiers": [],
"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 May 13, 2025; 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.