DR. MICHAEL WYDERKO MD
NPI 1689171969
Pediatrics in Ann Arbor, MI
About Dr. Michael Wyderko Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL WYDERKO MD (NPI 1689171969) is an individual pediatrics provider in Ann Arbor, Michigan, licensed in Michigan (4301504040) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Michael Wyderko 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Wyderko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ann Arbor, MI 48109
- Reassigned Medicare billing, Michigan enrollment
- 2,377 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.
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.
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.
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
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 Michael Wyderko's NPI number?
The NPI number for Michael Wyderko is 1689171969. It was assigned to this individual provider in the NPPES registry on April 12, 2018.
Where is Michael Wyderko located?
Michael Wyderko practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.
What is Michael Wyderko's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Michael Wyderko enrolled in Medicare?
Yes. Michael Wyderko 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 organization bills Medicare for Michael Wyderko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wyderko reassigns Medicare benefits to Regents Of The University Of Michigan (Ann Arbor, MI). The 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 Michael Wyderko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Wyderko 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 Michael Wyderko 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.
When was this NPI record last updated?
The NPPES record for Michael Wyderko was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Michael Wyderko, MD · NPI 1689171969
Pediatrics physician in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since April 12, 2018.
## Identity
- **NPI:** 1689171969 (Entity type: Individual)
- **Enumerated:** April 12, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301504040 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109-5000
- **Phone:** (734) 936-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regents Of The University Of Michigan (NPI 1003848144, Ann Arbor, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689171969) · Data from the CMS NPPES public registry.