Active NPI
Regents of the University of Michigan
- Gastroenterology Physician
- Brighton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- REGENTS OF THE UNIVERSITY OF MICHIGAN
- Practice address
- 7500 Challis Rd
Brighton, MI 48116-9416 - Phone
- (810) 263-4000
- NPI assigned
- Jul 7, 2006
- Last updated
- Apr 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Christopher Miller, MD
- Title
- President
- Phone
- (734) 936-3568
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Gastroenterology Physician | 207RG0100X | NU | Primary | |
| Hepatology Physician | 207RI0008X | NU |
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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100D711440 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Ann Arbor, MI
- NPI 1629092713
-
- Gastroenterology Physician
- Ann Arbor, MI
- NPI 1215137161
Internal Medicine
-
- Cardiovascular Disease Physician
- Ann Arbor, MI
- NPI 1831275841
Internal Medicine
-
- Internal Medicine Physician
- Fenton, MI
- NPI 1386902948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619740800000",
"number": "1720010192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "PROVIDER ENROLLMENT",
"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": "7500 CHALLIS RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481169416",
"telephone_number": "810-263-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2021-04-30",
"certification_date": "2021-04-13",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-936-3568",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "100D711440",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.