Individual provider Active NPI

Alexander Yevzlin, MD

  • Nephrology Physician
  • Ann Arbor, MI
National Provider Identifier
1962463315
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
47620 Issued in WI
Practice address
1500 East Medical Center Dr
University Hospital - Im Nephrology Inpatient
Ann Arbor, MI 48109-5364
Phone
(734) 888-2871
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301072462 MI
Nephrology Physician 207RN0300X 4301072462 MI
Nephrology Physician 207RN0300X 47620 WI Primary

Addresses

Primary practice location

1500 East Medical Center Dr
University Hospital - Im Nephrology Inpatient
Ann Arbor, MI 48109-5364

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

5020 American Family Dr Ste 100
Madison, WI 53718-8304
Phone (608) 621-2001

Other practice location 2

5020 American Family Dr Ste 101
Madison, WI 53718-8304
Phone (608) 621-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050114000206 WI Practitioner - Nephrology 6204885403 Reassigns benefits to 1 organization
I20171122000961 MI Practitioner - NephrologyPractitioner - Internal Medicine 6204885403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Ohio State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresenius Access Care Physicians of Madison LLCGroup PAC ID 1658742580, 3 clinicians

Practice addresses (Care Compare)

5020 American Family Dr
Suite 100
Madison, WI 53718-8304
Phone (608) 621-2001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47620WIMDNephrology Physician
4301065423MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan CurrentSince Oct 18, 2017 Accepting new patients
Fresenius Access Care Physicians of Madison LLC CurrentSince Mar 1, 2023 Accepting new patients
Regents of the University of Michigan Internal Medicine CurrentSince Oct 18, 2017 Accepting new patients
Fresenius Access Care Physicians of Madison ASC LLC PastSince Jan 1, 2022 Accepting new patients

Locations

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

5020 American Family Dr
#100
Madison, WI 53718
Phone (608) 621-2001

5020 American Family Dr
#101
Madison, WI 53718
Phone (608) 621-2001

Interoperability endpoints

  • Direct secure messaging: alexander.yevzlin.p193@direct.aac.nextgenshare.com
  • Direct secure messaging: alexander.yevzlin.p192@direct.aac.nextgenshare.com

Organizations & group practices 4

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1962463315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "UNIVERSITY HOSPITAL - IM NEPHROLOGY INPATIENT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095364",
            "telephone_number": "734-888-2871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5020 American Family Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537188304",
            "country_code": "US",
            "telephone_number": "608-621-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 American Family Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537188304",
            "country_code": "US",
            "telephone_number": "608-621-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEVZLIN",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301072462",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301072462",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "47620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.