Regents of the University of Michigan

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

REGENTS OF THE UNIVERSITY OF MICHIGAN

Practice address

1500 E Medical Center Dr
Ann Arbor, MI 48109-0999

Phone

(734) 936-4000

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Hospital certification: CCN 23S046

Legal name

REGENTS OF THE UNIVERSITY OF MICHIGAN

Doing business as

UNIVERSITY OF MICHIGAN HEALTH

Organization structure

CorporationNon-profit

Enrollment address

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric unit

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Regents of the University of Michigan

  • General Acute Care Hospital
  • Ann Arbor, MI
  • NPI 1003878539

  Unit of hospital

  Provider of Services

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Dee Ellen Fenner, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Ann Arbor, MI
  • NPI 1538252747

  Corporate Director, W-2 Managing Employee

  CMS ownership
• David Christopher Miller, MD

  • Urology Physician
  • Ann Arbor, MI
  • NPI 1629092713

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Mark E Prince, MD

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1184712606

  Corporate Director, W-2 Managing Employee

  CMS ownership
• Marschall Stevens Runge, MD

  • Cardiovascular Disease Physician
  • Ann Arbor, MI
  • NPI 1841351970

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1790748333",
    "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": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090999",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-09",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1556527",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "00029",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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

• Psychiatric Hospital Unit in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychiatric Hospital Unit in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.