Individual provider Active NPI

Sara Sadeghi Ellingwood, M.D.

  • Allergy & Immunology Physician
  • Ann Arbor, MI
National Provider Identifier
1467985432
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301504054 Issued in MI
Practice address
380 Parkland PLZ
Ann Arbor, MI 48103-6201
Phone
(734) 647-5940
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53760 KY
Student in an Organized Health Care Education/Training Program 390200000X
Allergy & Immunology Physician 207K00000X 4301504054 MI Primary

Addresses

Primary practice location

380 Parkland PLZ
Ann Arbor, MI 48103-6201

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

401 E Chestnut St Unit 310
Louisville, KY 40202-5703
Phone (502) 588-4720

Other practice location 2

24 Frank Lloyd Wright Dr Lbby H
Ann Arbor, MI 48105-9484
Phone (734) 232-2154

Other names 1

  • Dr. Sara Ashely Sadeghi Other name

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
I20231030000429 MI Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6800147620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 647-5940

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Phone (734) 647-5940

380 Parkland PLZ
Ann Arbor, MI 48103-6201
Phone (734) 647-5940

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan CurrentSince Oct 10, 2023 Accepting new patients
Regents of the University of Michigan Allergy & Immunology CurrentSince Oct 10, 2023 Accepting new patients
Regents of the University of Michigan Allergy & Immunology Past Accepting new patients

Locations

380 Parkland Plz
Ann Arbor, MI 48103
Phone (734) 615-3217

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

Interoperability endpoints

  • Direct secure messaging: sara.ellingwood.1@4327.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1467985432",
    "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": "380 PARKLAND PLZ",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036201",
            "telephone_number": "734-647-5940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Chestnut St Unit 310",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402025703",
            "country_code": "US",
            "telephone_number": "502-588-4720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Frank Lloyd Wright Dr Lbby H",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059484",
            "country_code": "US",
            "telephone_number": "734-232-2154",
            "fax_number": "734-647-6263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLINGWOOD",
        "first_name": "SARA",
        "middle_name": "SADEGHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2023-10-16",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "53760",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301504054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SADEGHI",
            "middle_name": "ASHELY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.