Individual provider Active NPI

Kevin M Markham, M.D.

  • Surgery Physician
  • Petoskey, MI
National Provider Identifier
1003871559
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301065831 Issued in MI
Practice address
521 Monroe St
Petoskey, MI 49770-2266
Phone
(231) 487-1900
Fax
(231) 348-0984
NPI assigned
Apr 19, 2006
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301065831 MI Primary

Addresses

Primary practice location

521 Monroe St
Petoskey, MI 49770-2266

Mailing address

521 Monroe St
Petoskey, MI 49770-2266
Phone (231) 487-1900

Other identifiers 4

IdentifierTypeStateIssuer
4320358MedicaidMI
020B41012OtherMIBCBS MI
P00117059OtherMIRAILROAD MEDICARE
0B41012OtherMIBCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819001230 MI Practitioner - General Surgery 6507871340 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Newberry Joy HospitalGroup PAC ID 5799671285, shared by 7 NPIs, 36 clinicians
Petoskey Surgeons, P.C.Group PAC ID 4880616028, 9 clinicians
McLaren Central MichiganGroup PAC ID 6103733092, shared by 21 NPIs, 183 clinicians

Practice addresses (Care Compare)

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

521 Monroe St
Petoskey, MI 49770-2266
Phone (231) 487-1900

560 W Mitchell St
Suite C70
Petoskey, MI 49770-2275
Phone (231) 487-7200

860 N Ctr Ave
Gaylord, MI 49735-1510
Phone (989) 732-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mackinac Straits Health System Inc Current Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 28, 2024 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 28, 2024 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Nov 25, 2024 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Nov 25, 2024 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 1, 2018 Accepting new patients
Petoskey Surgeons, P.C. Surgery CurrentSince Jul 9, 2000 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Brain and Spine Associates PC PastSince Aug 1, 2021 Accepting new patients
McLaren Northern Michigan Past Accepting new patients

Locations

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

521 Monroe St
Petoskey, MI 49770
Phone (231) 348-1514

50 N Perry St
#2
Pontiac, MI 48342
Phone (248) 338-5865

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

Interoperability endpoints

  • Direct secure messaging: kmarkham128148@mymichiganhealth.midirect.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1003871559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MONROE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702266",
            "telephone_number": "231-487-1900",
            "fax_number": "231-348-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MONROE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702266",
            "telephone_number": "231-487-1900",
            "fax_number": "231-348-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301065831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4320358",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "020B41012",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00117059",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "0B41012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.