Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Clair Bouazizi, MD

Individual provider Internal Medicine Physician · NPI 1730767286

Ellen Clair Bouazizi, MD is an Internal Medicine in Ann Arbor, Michigan. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2021, 5 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MI
In the registry since
2021
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 — (309) 655-4940
  • 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 — (248) 551-3000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301513613 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4351049822 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4351049822 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730767286
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESJuly 2, 2025
Certification dateJune 19, 2025
Mailing address3621 S State St, Ann Arbor, MI 48108-1633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2021 (5 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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