Regents of the University of Michigan

Organization Active NPI Pediatric Hematology & Oncology Physician · Ann Arbor, MI

NPI 1609800507 · NPPES record last updated May 3, 2021

Key facts

NPI
1609800507
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Hematology & Oncology Physician 2080P0207X
Legal business name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
NPI assigned
Jul 10, 2006
Organization subpart
No

Authorized official

Name
David Christopher Miller
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.

Practitioners 31

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

View all 31

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)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X
Pediatric Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2080P0207X Yes

Addresses

Primary practice location

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

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
350H111900OtherMIBCBS

Other providers in Ann Arbor, MI

All providers in Ann Arbor, MI · Pediatric Hematology & Oncology Physician in Michigan

Sources for this page

Verify at the official NPI Registry.