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

Ketti Sophia Petersen, MD

Individual provider Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1003128919

Ketti Sophia Petersen, MD is a Hospice/Palliative Care in Ann Arbor, Michigan. Graduated from University of Michigan Medical School in 2010, 16 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2010
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) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X · Licence 4301096617 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301096617 (MI)

Record details

NPI number1003128919
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020

Medicare enrollment

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

Medicare specialtyHOSPICE/PALLIATIVE CARE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
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

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