DR. CHARLES B SIEDLECKI MD
NPI 1588023113
Internal Medicine in Ann Arbor, MI

Active since February 10, 2016PECOS EnrolledAccepts Medicare Assignment
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2020, Jun 23, 2017, Feb 10, 2016 (3 updates tracked since 2016).

About Dr. Charles B Siedlecki Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES B SIEDLECKI MD (NPI 1588023113) is an individual internal medicine provider in Ann Arbor, Michigan, licensed in Michigan (4301501950) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1588023113
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHARLES B SIEDLECKICredential: MD
Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2017
Enumeration DateFebruary 10, 2016
Last NPPES UpdateJune 30, 20203 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
✔ NPI 1588023113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301501950
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 4301501950 (MI)
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles B Siedlecki Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103192166
PECOS Enrollment IDI20200612002001
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Charles Siedlecki reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 clinicians in this Medicare group
Urgent Care
2090 COMMONWEALTH BLVD, SUITE 100
Ann Arbor, MI 48105
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 clinicians in this Medicare group
Psychiatry
775 S MAIN ST
Chelsea, MI 48118
  • Reassigned Medicare billing, Michigan enrollment
  • 147 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
80 services78 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Siedlecki's NPI number?

The NPI number for Charles Siedlecki is 1588023113. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Where is Charles Siedlecki located?

Charles Siedlecki practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Charles Siedlecki's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Siedlecki enrolled in Medicare?

Yes. Charles Siedlecki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Charles Siedlecki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Siedlecki reassigns Medicare benefits to 3 organizations: Regents Of The University Of Michigan (Ann Arbor, MI), Iha Health Services Corporation (Ann Arbor, MI) and Chelsea Community Hospital (Chelsea, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Siedlecki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Siedlecki accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Charles Siedlecki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Siedlecki affiliated with any hospitals?

According to CMS data, Charles Siedlecki is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Charles Siedlecki was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.