Margaret E Gillis, MD
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Ann Arbor, MI
NPI 1477590123 · NPPES record last updated Dec 20, 2021
Key facts
- NPI
- 1477590123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- 079617 (MI)
- Practice address
- 5301 E Huron River Dr
Emergency Department Business Office
Ann Arbor, MI 48106 - Phone
- (734) 712-3962
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Michigan Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epmg of Michigan PC
Practice addresses (Care Compare)
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (954) 939-5000
775 S Main St
Chelsea, MI 48118-1383
Phone (954) 939-5000
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- Trinity Health Livingston 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 |
|---|---|---|---|---|
| I20051027000752 | MI | Practitioner - Emergency Medicine | 1850318007 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079617 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Mercy Livingston Hospital | Current |
Accepting new patients | |
| Hospitalist Physicians Medical Group of Michigan, PC | Current |
Accepting new patients | |
| Hospitalist Physicians Medical Group of Michigan, PC | Current |
Accepting new patients | |
| Saint Joseph Mercy Livingston Hospital | Current |
Accepting new patients | |
| Epmg of Michigan, P.C. | Current |
Accepting new patients |
Locations
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 079617 | MI | Yes |
Addresses
Primary practice location
5301 E Huron River Dr
Emergency Department Business Office
Ann Arbor, MI 48106
Mailing address
2000 Green Rd
Epmg PC
Ann Arbor, MI 48105-1598
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104789596 | Medicaid | MI | |
| 104789602 | Medicaid | MI | |
| MG079617 | Other | MI | BC/BS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgillis24013@direct.trinity-health.org | Direct |
NPI Registry JSON
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1477590123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 GREEN RD",
"address_2": "EPMG PC",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E HURON RIVER DR",
"address_2": "EMERGENCY DEPARTMENT BUSINESS OFFICE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48106",
"telephone_number": "734-712-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIS",
"first_name": "MARGARET",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "079617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104789596",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104789602",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "MG079617",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgillis24013@direct.trinity-health.org",
"affiliation": "N",
"endpointDescription": "St. Joseph Mercy Hospital Ann Arbor Direct Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "5301 E Huron River Dr",
"address_2": "Emergency Department Business Office",
"city": "Ann Arbor",
"state": "MI",
"country_code": "US",
"postal_code": "48106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ann Arbor, MI
- Elizabeth Gilliam
- Sasha Gilliam
- Todd Gillihan
- Bailey Gillim
- Courtney L Gillis
- Mary Katherine Gillis
- Brooke Gillispie
- Stephanie Catherine Gillman
- Jacquelyn Gillum
- Robert Harris Gilman
All providers in Ann Arbor, MI · Emergency Medical Services (Emergency Medicine) 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 20, 2021. 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.