Individual provider Active NPI

Michael A Wood, MD

  • Pediatric Endocrinology Physician
  • Ypsilanti, MI
National Provider Identifier
1801866363
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
4301064190 Issued in MI
Practice address
3075 W Clark Rd Ste 100
Ypsilanti, MI 48197-1103
Phone
(734) 469-4775
Fax
(734) 744-4471
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301064190 MI
Pediatric Endocrinology Physician 2080P0205X 4301064190 MI Primary

Addresses

Primary practice location

3075 W Clark Rd Ste 100
Ypsilanti, MI 48197-1103

Mailing address

30000 Northwestern Hwy
Farmington Hills, MI 48334-3227
Phone (947) 221-9684

Other identifiers 2

IdentifierTypeStateIssuer
110D16184053OtherMIBCBSM
3055479MedicaidMI

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
I20050607000448 MI Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 0941243349 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301064190MIMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Pediatrics Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2019 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2019 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jan 1, 2015 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jan 1, 2015 Accepting new patients
DLP Marquette Physician Practices Inc Pediatrics Current Accepting new patients
Regents of the University of Michigan CurrentSince Apr 1, 2013 Accepting new patients
Regents of the University of Michigan Pediatrics CurrentSince Apr 1, 2013 Accepting new patients

Locations

400 E Eisenhower Pkwy
Ste B
Ann Arbor, MI 48108
Phone (734) 232-2600

1500 E Medical Center Dr
Fl 4
Ann Arbor, MI 48109
Phone (734) 763-9259

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

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1051 N Canton Center Rd
Canton, MI 48187
Phone (734) 647-5670

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

30000 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 551-5000

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

32255 Northwestern Hwy
Ste 214
Farmington Hills, MI 48334
Phone (248) 855-5620

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

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3075 W Clark Rd
Ste 100
Ypsilanti, MI 48197
Phone (734) 469-4775

Interoperability endpoints

  • Direct secure messaging: mwood1262216@epic00.shdirect.org
  • Direct secure messaging: michael.wood.1@22726.direct.athenahealth.com
  • Direct secure messaging: mwood368367@direct.med.umich.edu

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1801866363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343227",
            "telephone_number": "947-221-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 W CLARK RD STE 100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971103",
            "telephone_number": "734-469-4775",
            "fax_number": "734-744-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301064190",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MI",
            "license": "4301064190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110D16184053",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3055479",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.