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Dr. Michael Wyderko , MD

Pediatrics β€’ Ann Arbor, MI

Active NPI 1689171969 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1500 E Medical Center Dr
Ann Arbor, MI 481095000

Call 7349364000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1500 E Medical Center Dr

Ann Arbor, MI 481095000

Telephone 7349364000
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Ann Arbor, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Regents Of The University Of Michigan. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wyderko has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wyderko as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ann Arbor and Michigan

170 active clinicians are listed under Pediatrics with a practice address in Ann Arbor, MI (2,181 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ann Arbor

0% of these 170 clinicians have the CMS telehealth indicator.

17.6% of these 170 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MI 4301504040

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230825000338

Enrollment State Jurisdiction

MI

PECOS Control ID

5294080248

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Regents Of The University Of Michigan

1500 E Medical Ctr Dr, Ann Arbor, MI 481095000

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Fl Rec D, Ann Arbor, MI 481095000

Phone: 7347645175

Regents Of The University Of Michigan

1500 E Medical Ctr Dr Level B, Ann Arbor, MI 481090999

Phone: 7346478901

Regents Of The University Of Michigan

1500 E Medical Ctr, Ann Arbor, MI 481090999

Phone: 7349365738

Regents Of The University Of Michigan

1500 E Medical Ctr Dr B2 Floor R, Ann Arbor, MI 481090999

Phone: 7349366274

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 2nd Lr, Ann Arbor, MI 481090999

Phone: 7347635459

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Fl Rec F, Ann Arbor, MI 481095000

Phone: 7347645176

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 3rd Fl Taubma, Ann Arbor, MI 481095000

Phone: 7346477321

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Fl, Ann Arbor, MI 481095000

Phone: 7349364185

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Floor, Ann Arbor, MI 481090999

Regents Of The University Of Michigan

1500 E Medical Ctr Dr 1st Flo, Ann Arbor, MI 481090999

Regents Of The University Of Michigan

1500 E Medical Ctr 2nd Floor Rec, Ann Arbor, MI 481090999

Phone: 7349365020

Regents Of The University Of Michigan

1500 E Medical Ctr Dr, Ann Arbor, MI 481090999

Secondary Practice Locations

1540 E Hospital Drive, Cw 12-525/spc 4280

Ann Arbor, MI 481094280

Phone: 7346157845

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

34 listed
Dr. Patrick Albus , MD

Radiology - Diagnostic Radiology

NPI 1003828922

Doctor of Medicine (M.D.)

Dr. Lawrence An , MD

Internal Medicine

NPI 1003850611

Doctor of Medicine (M.D.)

Dr. Raya Bani Kenana , MD

Internal Medicine

NPI 1003476045

Doctor of Medicine (M.D.)

Denise Berry , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003128356

Certified Registered Nurse Anesthetist

Dr. Ajay Bhasin , MD

Internal Medicine

NPI 1003179912

Doctor of Medicine (M.D.)

Dr. Anne Carlton , MD

Internal Medicine - Rheumatology

NPI 1003436031

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 27, 2023

Registered at 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 481095000 (Tel: 7349364000)

πŸ“
Updated Business Mailing Address July 27, 2023

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633 (Tel: 7346475299)

πŸ“
Updated Practice Location July 09, 2021

Registered at 1540 E HOSPITAL DRIVE, CW 12-525/SPC 4280, ANN ARBOR, MI 481094280 (Tel: 7346157845)

πŸ“
Updated Business Mailing Address July 09, 2021

Registered at 1540 EAST HOSPITAL DRIVE, CW 12-525, ANN ARBOR, MI 481094280

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2021

Pediatrics (license number reported to NPPES: MI 4301504040)

βœ…
NPI Profile Active April 12, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 12, 2018

Registered at 705 RILEY HOSPITAL DR RM 5867, INDIANAPOLIS, IN 462025109 (Tel: 3179444034)

πŸ“
Business Mailing Address (Initial Record) April 12, 2018

Registered at 5736 KINGSFIELD DR, WEST BLOOMFIELD, MI 483221463 (Tel: 2484640865)

πŸ‘€
Provider Name / Credentials (Initial Record) April 12, 2018

Recorded as MICHAEL WYDERKO, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 12, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689171969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2018
Last Update: July 27, 2023
Sole Proprietor: No

Other Pediatrics Specialists in Ann Arbor

All Pediatrics Specialists in Ann Arbor

Mailing Address

3621 S State St

Ann Arbor, MI 481081633

Phone: 7346475299

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.