Active NPI
Angela Jang, DO
- Family Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 51010227099
- Practice address
- 4200 Whitehall Dr
Ann Arbor, MI 48105-9694 - Phone
- (734) 995-0303
- NPI assigned
- Mar 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 51010227099 | MI | Primary |
Addresses
Primary practice location
4200 Whitehall Dr
Ann Arbor, MI 48105-9694
Mailing address
37595 7 Mile Rd Ste 210
Livonia, MI 48152-1003
Phone (734) 853-5660
Other practice location 1
37595 7 Mile Rd Ste 210
Livonia, MI 48152-1003
Phone (734) 853-5660
Other practice location 2
7030 Whitmore Lake Rd
Brighton, MI 48116-8533
Phone (248) 486-3636
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1065 N Huron River Dr
Ypsilanti, MI 48197-3296
19000 St Joes Pkwy
Suite 200
Livonia, MI 48152-1477
Phone (734) 213-3685
20206 Farmington Rd
Livonia, MI 48152-1412
Phone (248) 476-4724
20555 Victor Pkwy
Livonia, MI 48152-7031
37595 7 Mile Rd
Suite 340
Livonia, MI 48152-1489
Phone (734) 793-2470
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
4940 W Clark Rd
Ypsilanti, MI 48197-0860
Phone (734) 971-1188
49650 Cherry Hill Rd
Suite 120
Canton, MI 48187-4850
Phone (734) 398-7800
990 W Ann Arbor Trail
Iha Medicine Float Providers
Plymouth, MI 48170-1297
Phone (734) 398-7800
990 W Ann Arbor TRL
Suite 208
Plymouth, MI 48170-1297
Phone (734) 455-1200
Hospital & facility affiliations
- St Joe Mercy Hospital System Livonia
- Trinity Health Ann Arbor Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51010227099 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Olma Primary Care Risk LLC | Family Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Family Medicine | Current | Accepting new patients |
| Iha Olma Primary Care Risk LLC | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Family Medicine | Past | Accepting new patients |
| Iha Health Services Corporation | Past | Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
3200 W Liberty Rd
Ste C
Ann Arbor, MI 48103
Phone (734) 761-2581
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
37595 7 Mile Rd
Ste 210
Livonia, MI 48152
Phone (734) 432-7282
37595 7 Mile Rd
Ste 340
Livonia, MI 48152
Phone (734) 542-9999
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
990 W Ann Arbor Trl
Ste 208
Plymouth, MI 48170
Phone (734) 398-7800
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
4940 W Clark Rd
Ste 100
Ypsilanti, MI 48197
Phone (734) 434-0477
4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500
Interoperability endpoints
- ajang42854@direct.trinity-health.org
Organizations & group practices 9
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
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1578162319
-
- Family Medicine Physician
- Livonia, MI
- NPI 1073112819
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1922454214
Family Medicine
-
- Primary Care Clinic/Center
- Livonia, MI
- NPI 1255802559
Family Medicine
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1376690883
-
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
-
- Internal Medicine Physician
- Plymouth, MI
- NPI 1912184201
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1992265730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37595 7 MILE RD STE 210",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521003",
"telephone_number": "734-853-5660",
"fax_number": "834-853-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WHITEHALL DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059694",
"telephone_number": "734-995-0303"
}
],
"practiceLocations": [
{
"address_1": "37595 7 Mile Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481521003",
"country_code": "US",
"telephone_number": "734-853-5660",
"fax_number": "834-853-5697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7030 Whitmore Lake Rd",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481168533",
"country_code": "US",
"telephone_number": "248-486-3636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANG",
"first_name": "ANGELA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "51010227099",
"primary": true
}
],
"identifiers": [],
"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 Jul 18, 2024; 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.