Individual provider Active NPI

Emily Joan Mathias, M.D.

  • Emergency Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1487941241
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301099104 Issued in MI
Practice address
1500 E Medical Center Dr
2ND Floor CS Mott Childrens Hospital
Ann Arbor, MI 48109-4205
Phone
(734) 936-4230
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 4301099104 MI
Pediatrics Physician 208000000X 4301099104 MI
Emergency Medicine Physician 207P00000X 4301099104 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
2ND Floor CS Mott Childrens Hospital
Ann Arbor, MI 48109-4205

Mailing address

3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

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
I20141105001407 MI Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 7517189640 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Emergency Medicine CurrentSince Aug 12, 2017 Accepting new patients
Regents of the University of Michigan Pediatrics Current Accepting new patients
Hurley Medical Center Current Accepting new patients
University Pediatricians Pediatrics CurrentSince Oct 1, 2014 Accepting new patients
Regents of the University of Michigan CurrentSince Sep 12, 2017 Accepting new patients
Regents of the University of Michigan Emergency Medicine CurrentSince Sep 12, 2017 Accepting new patients
University Pediatricians Pediatrics CurrentSince Oct 1, 2014 Accepting new patients
Hurley Medical Center CurrentSince Aug 12, 2017 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823

1500 E Medical Center Dr
Fl 2
Ann Arbor, MI 48109
Phone (734) 936-5738

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
#700
Ann Arbor, MI 48108

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

1 Hurley Plz
Rm Physicians
Flint, MI 48503
Phone (810) 262-9429

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487941241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "2ND FLOOR CS MOTT CHILDRENS HOSPITAL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094205",
            "telephone_number": "734-936-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "EMILY",
        "middle_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "MI",
            "license": "4301099104",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301099104",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301099104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.