Individual provider Active NPI

Ann Marie Polcari, MD, MPH, MS

  • Student in an Organized Health Care Education/Training Program
  • Ann Arbor, MI
National Provider Identifier
1962996488
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
4351053780 Issued in MI
Practice address
1500 E Medical Center Dr, SPC 5033
Taubman Center, Floor 2, Reception C
Ann Arbor, MI 48109-5033
Phone
(734) 936-5738
Fax
(734) 936-5830
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125.072297 IL
Surgery Physician 208600000X 036.158360 IL
Student in an Organized Health Care Education/Training Program 390200000X 5315254725 MI
Student in an Organized Health Care Education/Training Program 390200000X 4351053780 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr, SPC 5033
Taubman Center, Floor 2, Reception C
Ann Arbor, MI 48109-5033

Mailing address

1500 E Medical Center Dr
1C340 Trauma Burn, SPC 5033
Ann Arbor, MI 48109-5033
Phone (734) 936-5738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180724002911 IL Order and Referring Only - General SurgeryPractitioner - General Surgery 2567719487

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.158360ILMDSurgery Physician
125.072297ILMDSurgery Physician
4351053780MIMDStudent in an Organized Health Care Education/Training Program
5315254725MIMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1962996488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "1C340 TRAUMA BURN, SPC 5033",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095033",
            "telephone_number": "734-936-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR, SPC 5033",
            "address_2": "TAUBMAN CENTER, FLOOR 2, RECEPTION C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095033",
            "telephone_number": "734-936-5738",
            "fax_number": "734-936-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLCARI",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "MD, MPH, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125.072297",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.158360",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5315254725",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351053780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.