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

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 2

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

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 (108 clinicians)

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 Hospital · Ann Arbor, MI · CCN 230156
  • Trinity Health Livingston Hospital Hospital · Howell, MI · CCN 230069

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 IDStateProvider typePAC IDDetails
I20051027000752 MI Practitioner - Emergency Medicine 1850318007 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
079617MIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Mercy Livingston Hospital Current
since Apr 17, 2017
Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Current
since Mar 1, 2021
Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Current
since Mar 1, 2021
Accepting new patients
Saint Joseph Mercy Livingston Hospital Current
since Apr 17, 2017
Accepting new patients
Epmg of Michigan, P.C. Current
since Sep 1, 2005
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104789596MedicaidMI
104789602MedicaidMI
MG079617OtherMIBC/BS

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mgillis24013@direct.trinity-health.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 20, 2021.

{
    "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

All providers in Ann Arbor, MI · Emergency Medical Services (Emergency Medicine) Physician in Michigan

Sources for this page

Verify at the official NPI Registry.