DR. REBECCA MICHELLE NORTHWAY (M.D.) – Internal Medicine Physician, NPI 1972727600

DR. REBECCA MICHELLE NORTHWAY (M.D.) is a healthcare provider. based in Ann arbor, Michigan. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301085768 (MI). The NPI Number for DR. REBECCA MICHELLE NORTHWAY (M.D.) is 1972727600

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA MICHELLE NORTHWAY (M.D.)
NPI
1972727600
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
12 April 2007
Last Update Date
20 October 2020

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
4789728718
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20100215000474
Address ID
MI481689493NO39901DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for DR. REBECCA MICHELLE NORTHWAY (M.D.)

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1051 NORTH CANTON CENTER RD

    CANTON, MI 481875097

    Phone: (734) 844-5400

    Type: Location

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: 2010-02-15

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
I20100215000474IInternal MedicineMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6553$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1919$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

How do payers reference DR. REBECCA MICHELLE NORTHWAY (M.D.)?
For DR. REBECCA MICHELLE NORTHWAY (M.D.), use NPI 1972727600 as the unique 10-digit identifier.
Active or inactive — what applies to DR. REBECCA MICHELLE NORTHWAY (M.D.)?
You should see DR. REBECCA MICHELLE NORTHWAY (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. REBECCA MICHELLE NORTHWAY (M.D.)?
DR. REBECCA MICHELLE NORTHWAY (M.D.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. REBECCA MICHELLE NORTHWAY (M.D.)?
Directory geography for DR. REBECCA MICHELLE NORTHWAY (M.D.) centers on Ann Arbor, Michigan.
Can I trust this NPI listing for DR. REBECCA MICHELLE NORTHWAY (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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