Individual provider Active NPI

Katie Lynn Mowers, MD

  • Pediatric Cardiology Physician
  • Ann Arbor, MI
National Provider Identifier
1609142959
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
4301117003 Issued in MI
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
NPI assigned
Mar 30, 2012
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2016010900 MO
Pediatrics Physician 208000000X 4301117003 MI
Pediatric Cardiology Physician 2080P0202X 2016010900 MO
Pediatric Cardiology Physician 2080P0202X 4301117003 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

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

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-6370

Other practice location 2

300 E 1st St Ste 201
Flint, MI 48502-1900
Phone (810) 262-9773

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmowers88491@direct.hurleymc.com

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
I20190827000623 MI Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3274883608 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301117003MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Oct 26, 2019 Accepting new patients
Hurley Medical Center Pediatrics CurrentSince Oct 26, 2019 Accepting new patients
Munson Medical Center Pediatrics CurrentSince Sep 22, 2019 Accepting new patients
Munson Medical Center Current Accepting new patients
Regents of the University of Michigan CurrentSince Aug 13, 2019 Accepting new patients
Munson Medical Center CurrentSince Sep 22, 2019 Accepting new patients
Mercy Health Westshore Cardiology Services CurrentSince Jan 21, 2026 Accepting new patients
Metropolitan Hospital CurrentSince Jul 9, 2019 Accepting new patients
Regents of the University of Michigan Pediatrics CurrentSince Aug 13, 2019 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Jan 21, 2026 Accepting new patients
Hurley Medical Center Current Accepting new patients
Regents of the University of Michigan Pediatrics Current Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Jan 21, 2026 Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

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

1500 E Medical Center Dr
Fl 11
Ann Arbor, MI 48109
Phone (734) 764-5176

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

300 E 1st St
#201
Flint, MI 48502
Phone (810) 262-9773

300 E 1st St
Flint, MI 48502
Phone (810) 262-9773

1310 E Beltline Ave SE
Grand Rapids, MI 49506
Phone (616) 252-1500

1000 East Paris Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 685-3450

1200 E Michigan Ave
Ste 715
Lansing, MI 48912
Phone (312) 316-7320

1223 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-3177

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

2122 Health Dr SW
Ste 133
Wyoming, MI 49519
Phone (616) 252-4139

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: kmowers2304984@direct.trinity-health.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1609142959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-6370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E 1st St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485021900",
            "country_code": "US",
            "telephone_number": "810-262-9773",
            "fax_number": "810-262-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOWERS",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2016010900",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301117003",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MO",
            "license": "2016010900",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MI",
            "license": "4301117003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmowers88491@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "300 E 1st St Ste 201",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485021900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.