Organization Active NPI

Laura E Babe MD PLC

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1851365621
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301067944 Issued in MI
Legal business name
LAURA E BABE MD PLC
Practice address
1100 W Huron St
Ann Arbor, MI 48103-4220
Phone
(734) 761-2165
Fax
(734) 761-9033
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Dr. Laura Babe, MDNPI 1912986043
Title
Owner/Single Member PLC
Phone
(734) 761-2165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301067944 MI Primary

Addresses

Primary practice location

1100 W Huron St
Ann Arbor, MI 48103-4220

Mailing address

1100 W Huron St
Ann Arbor, MI 48103-4220
Phone (734) 761-2165

Other identifiers 1

IdentifierTypeStateIssuer
11-0-H1-1127-0OtherMIBCBSMI GROUP NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laura.babe.1@3301.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521001218 MI Part B Supplier - Clinic/Group Practice 8921099466 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0366312Laura E Babe MD PLC1100 W Huron, Ann Arbor, MI 48103Provider-performed microscopyMay 15, 2027

National Provider Directory

National Provider Directory

Locations

1100 W Huron St
Ann Arbor, MI 48103
Phone (734) 665-6790

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3301/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.babe.1@3301.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1851365621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W HURON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034220",
            "telephone_number": "734-761-2165",
            "fax_number": "734-761-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W HURON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034220",
            "telephone_number": "734-761-2165",
            "fax_number": "734-761-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA E BABE MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "BABE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/SINGLE MEMBER PLC",
        "authorized_official_telephone_number": "734-761-2165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301067944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI GROUP NUMBER",
            "identifier": "11-0-H1-1127-0",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.babe.1@3301.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 W Huron St",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481034220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.