Active NPI
Kevin M Markham, M.D.
- Surgery Physician
- Petoskey, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301065831
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4320358 | Medicaid | MI | |
| 020B41012 | Other | MI | BCBS MI |
| P00117059 | Other | MI | RAILROAD MEDICARE |
| 0B41012 | Other | MI | BCN |
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
Enrollment records 1
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 HospitalMcLaren Central Michigan
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
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mackinac Straits Health System Inc | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Mackinac Straits Health System Inc | Current | Accepting new patients | |
| Mackinac Straits Health System Inc | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Petoskey Surgeons, P.C. | Surgery | Current | Accepting new patients |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Brain and Spine Associates PC | Past | 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
- 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.
-
- Surgery Physician
- Petoskey, MI
- NPI 1730145574
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
dba Manistique Lakes Family Clinic
- Rural Health Clinic/Center
- Curtis, MI
- NPI 1972650935
-
dba Mackinac Straits Hospital and Health Center
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
-
dba Mackinac Straits Hospital and Health Center
- General Practice Physician
- Saint Ignace, MI
- NPI 1659536035
-
dba HNJH - Skilled Care
- Nursing Facility/Intermediate Care Facility
- Newberry, MI
- NPI 1164545323
-
dba Rivertown Medical Clinic
- Rural Health Clinic/Center
- Cheboygan, MI
- NPI 1659868206
-
- Neurological Surgery Physician
- Bay City, MI
- NPI 1710651195
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
dba Mackinac Straits Hospital and Health Center
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
-
dba Rivertown Medical Clinic
- Rural Health Clinic/Center
- Cheboygan, MI
- NPI 1659868206
Hospital
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.