Regents of the University of Michigan
Organization Active NPI Neurological Surgery Physician · Ann Arbor, MI
NPI 1760414726 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1760414726
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- 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 7, 2006
- Organization subpart
- No
Authorized official
- Name
- David Christopher Miller
- Title
- President
- Phone
- (734) 936-3568
Corporate family (same tax ID) 24
Practitioners 57
-
Wajd N Al-Holou, M.D.
-
Nora M Broderick, NP
-
Hugh J Garton, MD
-
Diane C. Gorham, NP
-
Colleen Ann Hall, NP
-
Jacob Rahul Rajiv Joseph, M.D.
-
Michael Karsy, MD
-
Noojan J Kazemi, MD
-
Sravanthi Koduri, MD
-
Emily Lehmann Levin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
All facility ownership & control disclosures 17
| Facility | Type | Role | Since |
|---|---|---|---|
| University of Michigan Health-Sparrow Eaton |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health - West |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 15, 2016 |
| University of Michigan Health-Sparrow Lansing |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Ionia |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2024 |
| University of Michigan Health-Sparrow |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| Chelsea Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (49%) | Jul 1, 2018 |
| Chelsea Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (49%) | Jul 1, 2018 |
| University of Michigan Health-Sparrow |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Carson |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Mar 1, 2025 |
| University of Michigan Health-Sparrow |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Ionia |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Ithaca Primary Care |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Portland Primary Care |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Saranac Primary Care |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
Medicare enrollment records
| 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 |
| O20031117000684 | MI | Part B Supplier - Clinic/Group Practice | 3779496856 |
Receives reassigned benefits from 55 practitioners Practice locations: Ann Arbor, MI |
National Provider Directory
- Tax ID family
- Regents of Univ of Michigan
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Provider Enrollment
Ann Arbor, MI 48108
Phone (734) 647-5299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140H176250 | Other | MI | BCBS |
Other providers in Ann Arbor, 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
All providers in Ann Arbor, MI · Neurological Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.