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

Ittikorn Spanuchart, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942649330

Ittikorn Spanuchart, MD is a Nephrology in Ann Arbor, Michigan. Qualified in 2010, 16 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2013
Specialties on file
2
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) 647-5299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 4301506545 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942649330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2013
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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