Individual provider Active NPI

Peter R Paul, MD

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1407853617
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063025 Issued in MI
Practice address
2200 Green Rd
Suite B
Ann Arbor, MI 48105
Phone
(734) 994-7446
Fax
(734) 623-8590
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301063025 MI Primary

Addresses

Primary practice location

2200 Green Rd
Suite B
Ann Arbor, MI 48105

Mailing address

2200 Green Rd
Suite B
Ann Arbor, MI 48105
Phone (734) 994-7446

Other identifiers 1

IdentifierTypeStateIssuer
4302476MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhankins@piim.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000358 MI Practitioner - Geriatric Medicine 2365595287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Michigan State University College of Human Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners in Internal Medicine PLLCGroup PAC ID 6103806245, 7 clinicians

Practice addresses (Care Compare)

2200 Green Rd
Suite B
Ann Arbor, MI 48105-1569
Phone (734) 994-7446

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063025MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Internal Medicine PLLC Internal Medicine CurrentSince Nov 1, 1998 Accepting new patients

Locations

2200 Green Rd
Ste B
Ann Arbor, MI 48105
Phone (734) 994-7446

255 N Lilley Rd
Canton, MI 48187
Phone (734) 981-3300

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1407853617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD",
            "address_2": "SUITE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-994-7446",
            "fax_number": "734-623-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD",
            "address_2": "SUITE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-994-7446",
            "fax_number": "734-623-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "PETER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4302476",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhankins@piim.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Green Rd",
            "address_2": "Suite B",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.