Active NPI
Alexandra Hart Targan Rosenberg, MD
- Family Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301506805
- Practice address
- 24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484 - Phone
- (734) 539-5000
- NPI assigned
- Mar 27, 2018
- 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 | 4301506805 | MI | Primary |
Addresses
Primary practice location
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other names 1
- Alexandra Hart Targan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | atargan723112@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14700 E Old US Hwy 12
Chelsea, MI 48118-1185
Phone (734) 539-5000
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 539-5000
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Phone (734) 539-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Family Medicine | Current | Accepting new patients |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
14700 E Old US Highway 12
Chelsea, MI 48118
Phone (734) 475-1321
Interoperability endpoints
- atargan723112@direct.unc.nchie.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1669402848
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1669977187",
"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": "24 FRANK LLOYD WRIGHT DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-539-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "ALEXANDRA",
"middle_name": "HART TARGAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301506805",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "atargan723112@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "590 Manning Dr",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275996119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "TARGAN",
"middle_name": "HART",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.