Active NPI
Anahit Movsesyan, PA
- Physician Assistant
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601009722
- Practice address
- 5325 Elliott Dr FL 2
Ypsilanti, MI 48197-8633 - Phone
- (734) 712-8000
- NPI assigned
- Jun 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601009722 | MI | Primary |
Addresses
Primary practice location
5325 Elliott Dr FL 2
Ypsilanti, MI 48197-8633
Mailing address
24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other practice location 1
47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100
Other practice location 2
29142 Guy St
Southfield, MI 48076-1808
Phone (248) 719-6719
Other practice location 3
37000 Grand River Ave Ste 310
Farmington Hills, MI 48335-2868
Phone (248) 536-2127
Other practice location 4
16001 W 9 Mile Rd
Southfield, MI 48075-4803
Phone (248) 849-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI000017764 | Other | MI | STATE OF MICHIGAN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
128 Van Buren St
Chelsea, MI 48118-1623
Phone (734) 475-8677
14555 Levan Rd
Livonia, MI 48154-5085
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 583-9125
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304
5325 Elliott Dr
Ypsilanti, MI 48197-8633
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- St Joe Mercy Hospital System Livonia
- Chelsea Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601009722 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
1600 S Canton Center Rd
Ste 345
Canton, MI 48188
Phone (734) 398-7515
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5325 Elliott Dr
Fl 2
Ypsilanti, MI 48197
Phone (734) 712-7242
5325 Elliott Dr
#2
Ypsilanti, MI 48197
Interoperability endpoints
- amovsesyan1424430@direct.trinity-health.org
- amovsesyan1142304@direct.hfhs.org
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Hospitalist Physician
- Southfield, MI
- NPI 1851820641
-
- Emergency Medical Services (Emergency Medicine) Physician
- Southfield, MI
- NPI 1700119500
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Hospitalist Physician
- Ypsilanti, MI
- NPI 1306121405
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1952961641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR LBBY J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 ELLIOTT DR FL 2",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978633",
"telephone_number": "734-712-8000"
}
],
"practiceLocations": [
{
"address_1": "47601 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483741233",
"country_code": "US",
"telephone_number": "248-465-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "29142 Guy St",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480761808",
"country_code": "US",
"telephone_number": "248-719-6719",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37000 Grand River Ave Ste 310",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483352868",
"country_code": "US",
"telephone_number": "248-536-2127",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16001 W 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480754803",
"country_code": "US",
"telephone_number": "248-849-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOVSESYAN",
"first_name": "ANAHIT",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-16",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601009722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN",
"identifier": "MI000017764",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.