Active NPI
Simritjit Kaur Mann, PA-C
- Family Medicine Physician
- Canton, MI
National Provider Identifier
1568325447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 451674932
- Practice address
- 920 Wildwood LN
Canton, MI 48188-5080 - Phone
- (734) 658-3048
- NPI assigned
- Dec 8, 2025
- Last updated
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 451674932 | MI | Primary |
Addresses
Primary practice location
920 Wildwood LN
Canton, MI 48188-5080
Mailing address
920 Wildwood LN
Canton, MI 48188-5080
Phone (734) 658-3048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 451674932 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1568325447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 WILDWOOD LN",
"city": "CANTON",
"state": "MI",
"postal_code": "481885080",
"telephone_number": "734-658-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 WILDWOOD LN",
"city": "CANTON",
"state": "MI",
"postal_code": "481885080",
"telephone_number": "734-658-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "SIMRITJIT",
"middle_name": "KAUR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-08",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "451674932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.