Individual provider Active NPI

Angela Jang, DO

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1992265730
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51010227099 Issued in MI
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

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520001325 MI Practitioner - Family PracticePractitioner - Internal Medicine 0446581763 Reassigns benefits to 2 organizations

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
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians
Iha Olma Primary Care Risk LLCGroup PAC ID 1153733324, 26 clinicians
Iha Olma Primary Non Risk LLCGroup PAC ID 1759792799, 16 clinicians

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 Hospital, Livonia, MI, CCN 230002
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51010227099MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Primary Care Risk LLC Family Medicine CurrentSince Jul 9, 2025 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Service Corporation Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Iha Olma Primary Care Risk LLC CurrentSince Jul 9, 2025 Accepting new patients
Iha Health Service Corporation CurrentSince Jul 1, 2024 Accepting new patients
Iha Health Services Corporation Family Medicine Past Accepting new patients
Iha Health Services Corporation PastSince Jul 21, 2024 Accepting new patients
Iha Health Services Corporation PastSince Jul 21, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.