Active NPI
Infectious Diseases Associates, P.C.
- Exclusive Provider Organization
- Ypsilanti, MI
National Provider Identifier
1730135294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 029166
- Legal business name
- INFECTIOUS DISEASES ASSOCIATES, P.C.
- Practice address
- 5333 McAuley Dr
R3106
Ypsilanti, MI 48197-1014 - Phone
- (734) 712-8600
- NPI assigned
- May 26, 2006
- 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
- Dr. Michael Otto, M.D.
- Title
- President
- Phone
- (734) 712-8600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 029166 | MI | Primary |
Addresses
Primary practice location
5333 McAuley Dr
R3106
Ypsilanti, MI 48197-1014
Mailing address
5333 McAuley Dr
R3106
Ypsilanti, MI 48197-1014
Phone (734) 712-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1046837 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
5333 McAuley Dr
Rm 3106
Ypsilanti, MI 48197
Phone (313) 434-4333
5333 McAuley Dr
#R3106
Ypsilanti, MI 48197
Phone (734) 663-7731
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Ypsilanti, MI
- NPI 1861562134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278460800000",
"number": "1730135294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"address_2": "R3106",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971014",
"telephone_number": "734-712-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"address_2": "R3106",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971014",
"telephone_number": "734-712-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DISEASES ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2010-07-07",
"status": "A",
"authorized_official_last_name": "OTTO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-712-8600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "MI",
"license": "029166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1046837",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.