Individual provider Active NPI

Enesha Cobb, MD

  • Emergency Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1700067816
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301100646 Issued in MI
Practice address
1500 East Medical Center Dr
B1 Floor University Hospital Recp Emergency
Ann Arbor, MI 48109-5301
Phone
(734) 936-6666
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 289011 NY
Emergency Medicine Physician 207P00000X 4301100646 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1500 East Medical Center Dr
B1 Floor University Hospital Recp Emergency
Ann Arbor, MI 48109-5301

Mailing address

3621 South State Street
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, MS, FL, TX, WV, IL, ME, ID, AL10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20110815000107 CT Practitioner - Emergency Medicine 3173792827
I20170817002662 NY Practitioner - Emergency Medicine 3173792827
I20200305002342 MS Practitioner - Emergency Medicine 3173792827 Reassigns benefits to 1 organization
I20200409003159 FL Practitioner - Emergency Medicine 3173792827
I20200411000263 TX Practitioner - Emergency Medicine 3173792827 Reassigns benefits to 1 organization
I20200413002384 WV Practitioner - Emergency Medicine 3173792827
I20200505001969 IL Practitioner - Emergency Medicine 3173792827 Reassigns benefits to 1 organization
I20200507002205 ME Practitioner - Emergency Medicine 3173792827 Reassigns benefits to 1 organization
I20200612002647 ID Practitioner - Emergency Medicine 3173792827 Reassigns benefits to 1 organization
I20200717000544 AL Practitioner - Emergency Medicine 3173792827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301100646MIMDEmergency Medicine Physician
289011NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare System, Inc CurrentSince Jan 15, 2020 Accepting new patients
Alliance Healthcare System Inc Current Accepting new patients
Alliance Healthcare System CurrentSince Jan 15, 2020 Accepting new patients
Texas Post Acute Specialists, PA Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

59 Harrington Ct
Colchester, CT 06415
Phone (860) 537-2339

10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000

9980 Georgia St
Crown Point, IN 46307

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

1430 Highway 4 E
Holly Springs, MS 38635
Phone (662) 252-1212

290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800

20 Manor Dr
Oswego, NY 13126
Phone (315) 349-5300

36855 Ridge Rd
Willoughby, OH 44094
Phone (440) 942-4342

1050 Rambling Oaks Dr
Norman, OK 73072
Phone (405) 292-2273

560 Cumberland Hill Rd
Woonsocket, RI 02895
Phone (401) 769-0800

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335

9300 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 475-4700

9825 S Jordan Gtwy
Sandy, UT 84070

601 Red Village Rd
Lyndonville, VT 05851
Phone (802) 626-3361

2700 W Honadel Blvd
Oak Creek, WI 53154
Phone (414) 203-8310

101 13th St
Huntington, WV 25701
Phone (304) 525-7622

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1700067816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SOUTH STATE STREET",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095301",
            "telephone_number": "734-936-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "ENESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "289011",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301100646",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.