Active NPI
Carlo Pancaro, M.D.
- Anesthesiology Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301108484
- Practice address
- 205 N East Ave FL 5
Jackson, MI 49201-1753 - Phone
- (517) 205-4800
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 234426 | MA | |
| Anesthesiology Physician | 207L00000X | 4301108484 | MI | Primary |
Addresses
Primary practice location
205 N East Ave FL 5
Jackson, MI 49201-1753
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
1500 East Medical Center
1H247 University Hospital
Ann Arbor, MI 48109-5048
Phone (734) 936-4280
Other practice location 2
2799 W Grand Boulevard Null
Detroit, MI 48267-5048
Phone (313) 916-2000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
1500 E Medical Ctr Dr 1St FL
Taubman Ctr Rec D
Ann Arbor, MI 48109-5000
Phone (734) 936-4185
1500 E Medical Ctr Dr 1St FL Rec D
Taubman Center
Ann Arbor, MI 48109-5000
Phone (734) 764-5175
1500 E Medical Ctr Dr 1St FL Rec F
Mott Hospital
Ann Arbor, MI 48109-5000
Phone (734) 764-5176
1500 E Medical Ctr Dr 3Rd FL Taubma
Ann Arbor, MI 48109-5000
Phone (734) 647-7321
205 N E Ave
Jackson, MI 49201-1753
Phone (517) 205-4800
2799 W Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 916-2000
Hospital & facility affiliations
- Henry Ford Allegiance Health
- Henry Ford Health Hospital
- University of Michigan Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Anesthesiology | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Wa Foote Memorial Hospital Inc | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Regents of the University of Michigan | Anesthesiology | Current | Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1500 E Medical Center Dr
#1H247
Ann Arbor, MI 48109
Phone (734) 936-4280
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
205 N East Ave
Fl 5
Jackson, MI 49201
Phone (517) 205-3560
Interoperability endpoints
- https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1003989690
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Podiatrist
- Detroit, MI
- NPI 1396824207
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Pain Medicine (Anesthesiology) Physician
- Ann Arbor, MI
- NPI 1639121536
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Pain Medicine (Anesthesiology) Physician
- Jackson, MI
- NPI 1841774262
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1811030224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-874-4806",
"fax_number": "313-876-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE FL 5",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-4800"
}
],
"practiceLocations": [
{
"address_1": "1500 East Medical Center",
"address_2": "1H247 University Hospital",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095048",
"country_code": "US",
"telephone_number": "734-936-4280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2799 W Grand Boulevard Null",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482675048",
"country_code": "US",
"telephone_number": "313-916-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANCARO",
"first_name": "CARLO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "234426",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301108484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.