Individual provider Active NPI

Christian John Vercler, MD

  • Plastic Surgery Physician
  • Ann Arbor, MI
National Provider Identifier
1801005616
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301100193 Issued in MI
Practice address
1500 East Medical Center Dr
3Rd Floor C.S. Mott Children'S Hosp RM CW3-978
Ann Arbor, MI 48109-4219
Phone
(734) 763-8063
Fax
(734) 232-6973
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 058525 GA
Surgery Physician 208600000X 4301100193 MI
Plastic Surgery Physician 208200000X 4301100193 MI Primary

Addresses

Primary practice location

1500 East Medical Center Dr
3Rd Floor C.S. Mott Children'S Hosp RM CW3-978
Ann Arbor, MI 48109-4219

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130930000323 MI Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 6507966272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of MichiganGroup PAC ID 3779496856, 3,344 clinicians

Practice addresses (Care Compare)

1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000

2098 S Main St
Umhs South Main Orthopaedics
Ann Arbor, MI 48103-5827
Phone (734) 998-6485

Hospital & facility affiliations

  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Oct 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Oct 1, 2022 Accepting new patients
Regents of the University of Michigan Plastic Surgery CurrentSince Jul 1, 2013 Accepting new patients
Regents of the University of Michigan CurrentSince Jul 1, 2013 Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Taylor Regional Emergency Physicians, LLC Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2098 S Main St
Ann Arbor, MI 48103
Phone (734) 936-5780

3621 S State St
#700
Ann Arbor, MI 48108

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1500 E Medical Center Dr
Fl 3
Ann Arbor, MI 48109
Phone (734) 647-5944

1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1801005616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SOUTH 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": "3RD FLOOR C.S. MOTT CHILDREN'S HOSP RM CW3-978",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094219",
            "telephone_number": "734-763-8063",
            "fax_number": "734-232-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCLER",
        "first_name": "CHRISTIAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "058525",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301100193",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301100193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.