NPIMap

Individual provider Active NPI

Anita Lopes Repp, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Ypsilanti, MI
National Provider Identifier
1396967022
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301083091 Issued in MI
Practice address
5333 McAuley Dr
RHB 5115
Ypsilanti, MI 48197-1014
Phone
(734) 434-4430
Fax
(734) 434-7634
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301083091 MI Primary

Addresses

Primary practice location

5333 McAuley Dr
RHB 5115
Ypsilanti, MI 48197-1014

Mailing address

5333 McAuley Dr
RHB 5115
Ypsilanti, MI 48197-1014
Phone (734) 434-4430

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anita.repp@stjoeshealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071220000558 MI Practitioner - Endocrinology 7810087301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Michigan Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ann Arbor Endocrinology and Diabetes Associates, P.C.Group PAC ID 1951311398, 6 clinicians

Practice addresses (Care Compare)

5333 McAuley Dr
RM 5115
Ypsilanti, MI 48197-1003
Phone (734) 548-6676

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Endocrinology and Diabetes Associates, P.C. Endocrinology, Diabetes & Metabolism CurrentSince Jan 2, 2008 Accepting new patients

Locations

5333 McAuley Dr
Rm 5115
Ypsilanti, MI 48197
Phone (734) 434-4430

5333 McAuley Dr
Ste R5115
Ypsilanti, MI 48197

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAFIBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1396967022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR",
            "address_2": "RHB 5115",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014",
            "telephone_number": "734-434-4430",
            "fax_number": "734-434-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR",
            "address_2": "RHB 5115",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014",
            "telephone_number": "734-434-4430",
            "fax_number": "734-434-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPP",
        "first_name": "ANITA",
        "middle_name": "LOPES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301083091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anita.repp@stjoeshealth.org",
            "affiliation": "N",
            "endpointDescription": "St JMH direct email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5333 McAuley Dr",
            "address_2": "RHB 5115",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481971014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.