Individual provider Active NPI

Steven H Mandell, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Ann Arbor, MI
National Provider Identifier
1780766741
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
4301051429 Issued in MI
Practice address
1500 East Medical Center Dr
2ND Floor University Hospital Recp Pathology
Ann Arbor, MI 48109-0054
Phone
(800) 862-7284
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301051429 MI Primary

Addresses

Primary practice location

1500 East Medical Center Dr
2ND Floor University Hospital Recp Pathology
Ann Arbor, MI 48109-0054

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
4656437MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301051429MIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the Universtiy of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan Anatomic Pathology & Clinical Pathology PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michgian PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients
Regents of the University of Michigan PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 57

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780766741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "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": "2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090054",
            "telephone_number": "800-862-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "STEVEN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301051429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4656437",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.