Regents of the University of Michigan

Organization Active NPI Clinical Cardiac Electrophysiology Physician · Brighton, MI

NPI 1598068272 · NPPES record last updated Apr 30, 2021

Key facts

NPI
1598068272
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Cardiac Electrophysiology Physician 207RC0001X
Legal business name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Practice address
7500 Challis Rd
Brighton, MI 48116-9416
Phone
(810) 263-4000
NPI assigned
Dec 17, 2010
Organization subpart
Yes
Parent organization (as reported)
REGENTS OF THE UNIVERSITY OF MICHIGAN

Authorized official

Name
David Christopher Miller, MD
Title
President
Phone
(734) 936-3568

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 33

Organizations listed as members of this organization in the National Provider Directory.

View all 33

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031106000325 MI Part B Supplier - Clinic/Group Practice 3779496856 Receives reassigned benefits from 2,340 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Regents of Univ of Michigan (157 organizations share this tax ID)
Part of
Regents of Univ of Michigan

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0001X Yes

Addresses

Primary practice location

7500 Challis Rd
Brighton, MI 48116-9416

Mailing address

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

Other providers in Brighton, MI

All providers in Brighton, MI · Clinical Cardiac Electrophysiology Physician in Michigan

Sources for this page

Verify at the official NPI Registry.