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AMANDA HALLBERG MD PLLC
NPI 1790193084
Clinic/Center - Primary Care in Ann Arbor, MI

Active since July 30, 2014
2880 S. STATE STREET, SUITE 215, ANN ARBOR, MI 48104(734) 547-3990(734) 547-3980 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Aug 11, 2022 (2 updates tracked since 2022).

About Amanda Hallberg Md Pllc NPPES

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

AMANDA HALLBERG MD PLLC (NPI 1790193084), doing business as Amanda Kaufman Md Pllc, is a healthcare organization registered as a primary care in Ann Arbor, Michigan and active in the NPI registry since July 2014. The organization lists Amanda Joy Hallberg, Physician Owner/sole Owner, as its authorized official.

NPPES Registry Identity

NPI1790193084
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAMANDA HALLBERG MD PLLC
Location Address2880 S. STATE STREET, SUITE 215Ann Arbor, MI 48104
Mailing Address2880 S. State Street, Suite 215Ann Arbor, MI 48104 · (734) 547-3990 · Fax (734) 547-3980
Phone(734) 547-3990
Fax(734) 547-3980
Organization SubpartNo
Authorized OfficialAmanda Joy HallbergPhysician Owner/sole Owner · (734) 547-3990
Enumeration DateJuly 30, 2014
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1790193084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MI · 4301081734
2880 S. STATE STREET, Ann Arbor, MI 48104
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Other Names 1

Former Legal Business NameAmanda Kaufman Md Pllc

Other Identifiers 1

Medicaid4778340MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Amanda Hallberg MD PLLC's NPI number?

The NPI number for Amanda Hallberg MD PLLC is 1790193084. It was assigned to this organization in the NPPES registry on July 30, 2014. The provider was formerly known as Amanda Kaufman MD PLLC.

Where is Amanda Hallberg MD PLLC located?

Amanda Hallberg MD PLLC is located at 2880 S. State Street Suite 215, Ann Arbor, MI 48104. The listed phone number is (734) 547-3990.

What is Amanda Hallberg MD PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Amanda Hallberg MD PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Amanda Hallberg MD PLLC 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 Amanda Hallberg MD PLLC was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.