Active NPI
Karen Elizabeth Speck, M.D.
- Pediatric Surgery Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 4301101060
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301101060 | MI | |
| Surgery Physician | 208600000X | MD51606 | TN | |
| Pediatric Surgery Physician | 2086S0120X | MD51606 | TN | |
| Pediatric Surgery Physician | 2086S0120X | 35.137134 | OH | |
| Pediatric Surgery Physician | 2086S0120X | 4301101060 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
2213 Cherry St
Toledo, OH 43608-2603
Phone (567) 290-6543
Other practice location 2
2222 Cherry St Ste 1800
Toledo, OH 43608-2679
Phone (419) 251-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0328887 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E Medical Ctr
Suite 0331
Ann Arbor, MI 48109-0999
Phone (734) 936-5738
1500 E Medical Ctr 2ND Floor Rec
Taubman Center
Ann Arbor, MI 48109-0999
Phone (734) 936-5020
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-0999
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 1St Flo
Ann Arbor, MI 48109-0999
1500 E Medical Ctr Dr 1St Floor
Ann Arbor, MI 48109-0999
1500 E Medical Ctr Dr 2ND LR
Med Inn
Ann Arbor, MI 48109-0999
Phone (734) 763-5459
1500 E Medical Ctr Dr 3Rd FL Taubma
Ann Arbor, MI 48109-5000
Phone (734) 647-7321
1500 E Medical Ctr Dr B2 Floor R
Cancer and Geriatrics Center
Ann Arbor, MI 48109-0999
Phone (734) 936-6274
1500 E Medical Ctr Dr Level B
Cancer and Geriatrics Center
Ann Arbor, MI 48109-0999
Phone (734) 647-8901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD51606 | TN | MD | Surgery Physician |
| 35.137134 | OH | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Pediatric Surgery | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Surgery | Current | Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| SJMH Medical Practice-SMHC | Surgery | Current | Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Surgery | Current | Accepting new patients |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Northwest Pediatric Specialists, LLC | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| SJMH Medical Practice-SMHC | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Regents of the University of Michigan | Surgery | Current | Accepting new patients |
| Mercy Health Physicians-North LLC | Current | Accepting new patients | |
| Children'S Hospital | Past | Accepting new patients | |
| Edward W Sparrow Hospital Association | Past | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823
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
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
3621 S State St
#700
Ann Arbor, MI 48108
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1125 S Linden Rd
Ste 100
Flint, MI 48532
Phone (810) 262-6555
1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097
44555 Woodward Ave
Ste 505
Pontiac, MI 48341
Phone (248) 334-9691
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
2222 Cherry St
Ste 1800
Toledo, OH 43608
Phone (419) 251-4300
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
Interoperability endpoints
- kspeck67894@direct.hurleymc.com
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
- kspeck651317@direct.bsmhealth.org
- kspeck129021@direct.med.umich.edu
Organizations & group practices 18
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.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
Pediatric Surgery
-
- Otolaryngology Physician
- Ypsilanti, MI
- NPI 1659499705
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
-
- Pediatrics Physician
- Toledo, OH
- NPI 1033709100
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Pediatric Surgery Physician
- Ann Arbor, MI
- NPI 1811922974
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Urgent Care Clinic/Center
- Waterford, MI
- NPI 1366644551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1962621169",
"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 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4000"
}
],
"practiceLocations": [
{
"address_1": "2213 Cherry St",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082603",
"country_code": "US",
"telephone_number": "567-290-6543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 Cherry St Ste 1800",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082679",
"country_code": "US",
"telephone_number": "419-251-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPECK",
"first_name": "KAREN",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301101060",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD51606",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TN",
"license": "MD51606",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "OH",
"license": "35.137134",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "MI",
"license": "4301101060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0328887",
"state": "OH"
}
],
"endpoints": [],
"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 Mar 9, 2023; 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.