HALEY MARIE AMOTH (MD) – Student in an Organized Health Care Education/Training Program, NPI 1740805159

HALEY MARIE AMOTH (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 4351046527 (MI). The NPI Number for HALEY MARIE AMOTH (MD) is 1740805159

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
HALEY MARIE AMOTH (MD)
NPI
1740805159
Phone
(734) 764-3270
Address
2800 PLYMOUTH RD # 35-1411
Enumeration Date
11 June 2020
Last Update Date
11 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
3133434000
Graduation Year
2020 (6 years ago)
PAC ID
8224554407
Group Practice PAC ID
6608848130
Professional Enrollment ID
I20250430002467
Address ID
MI482362148DE22101RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

573 PATHOLOGY in MI

Provider Addresses for HALEY MARIE AMOTH (MD)

  • 2800 PLYMOUTH RD # 35-1411

    ANN ARBOR, MI 481092800

    Phone: (734) 764-3270

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250430002467IPathologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608848130View full group profile
NameSpecialtyState
P A T H O L O G YOH
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YOH
-OH
-MI
P A T H O L O G YNC
P A T H O L O G YOH
P A T H O L O G YMI
-OH

Reviews

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Frequently asked questions

Can I cross-check HALEY MARIE AMOTH (MD) using NPI 1740805159?
NPI 1740805159 belongs to HALEY MARIE AMOTH (MD); compare other details if you need extra assurance.
Active or inactive — what applies to HALEY MARIE AMOTH (MD)?
You should see HALEY MARIE AMOTH (MD) as active in CMS-hosted NPPES data.
What area of care is associated with HALEY MARIE AMOTH (MD)?
HALEY MARIE AMOTH (MD)'s record emphasizes Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is HALEY MARIE AMOTH (MD) located near Ann Arbor?
HALEY MARIE AMOTH (MD) currently maps to Ann Arbor, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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