Regents of the University of Michigan
Organization Active NPI Surgery Physician · Brighton, MI
NPI 1770518953 · NPPES record last updated Apr 30, 2021
Key facts
- NPI
- 1770518953
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- REGENTS OF THE UNIVERSITY OF MICHIGAN
- Practice address
- 8001 Challis Road
Brighton, MI 48116 - Phone
- (734) 936-5738
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- David Christopher Miller, MD
- Title
- President
- Phone
- (734) 936-3568
Corporate family (same tax ID) 24
Practitioners 5
-
John C Magee, MD
-
Randall S Sung, MD
-
Steven H Mandell, MD
-
Shelly Riddell, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
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 |
National Provider Directory
- Tax ID family
- Regents of Univ of Michigan
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician |
204F00000X | |||
| Surgery Physician |
208600000X | Yes | ||
| Surgical Critical Care Physician |
2086S0102X | |||
| Surgery of the Hand (Surgery) Physician |
2086S0105X | |||
| Trauma Surgery Physician |
2086S0127X | |||
| Surgical Oncology Physician |
2086X0206X | |||
| Colon & Rectal Surgery Physician |
208C00000X |
Addresses
Primary practice location
8001 Challis Road
Brighton, MI 48116
Mailing address
3621 S State St
Provider Enrollment
Ann Arobr, MI 48108-1633
Phone (734) 647-5299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020D711500 | Other | MI | BCBS |
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
All providers in Brighton, MI · 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 Apr 30, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.