Individual provider Active NPI

Marc D Headapohl, M.D.

  • Emergency Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1033158159
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
85947 Issued in WI
Practice address
1850 Whites Rd
Suite 3
Kalamazoo, MI 49008-4801
Phone
(269) 343-3900
Fax
(269) 343-5640
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 85947 WI Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301074898 MI

Addresses

Primary practice location

1850 Whites Rd
Suite 3
Kalamazoo, MI 49008-4801

Mailing address

1850 Whites Rd Ste 3
Kalamazoo, MI 49008-4801
Phone (269) 343-3900

Other practice location 1

Marshfield Clinic Weston Center
3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Other identifiers 1

IdentifierTypeStateIssuer
10/4278432MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050115000107 MI Practitioner - Emergency MedicinePractitioner - General Practice 3678522703 Reassigns benefits to 1 organization
I20250901000541 WI Practitioner - Emergency Medicine 3678522703 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmg Southwest Michigan PLLCGroup PAC ID 2769719236, 45 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (954) 939-5000

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85947WIMDEmergency Medicine Physician
4301074898MIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 29, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 29, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 29, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 29, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 29, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Ihc Beaver Dam Emergency Physicians, LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 29, 2025 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 29, 2025 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 29, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 29, 2025 Accepting new patients
Epmg Southwest Michigan PLLC Emergency Medicine CurrentSince Jul 4, 2019 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc Past Accepting new patients
Southwestern Michigan Emergency Services, PC Emergency Medical Services Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Organizations & group practices 18

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

View all 18

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1033158159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 WHITES RD STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084801",
            "telephone_number": "269-343-3900",
            "fax_number": "269-343-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WHITES RD",
            "address_2": "SUITE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084801",
            "telephone_number": "269-343-3900",
            "fax_number": "269-343-5640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Marshfield Clinic Weston Center",
            "address_2": "3400 Ministry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "54476",
            "country_code": "US",
            "telephone_number": "715-393-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEADAPOHL",
        "first_name": "MARC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "85947",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301074898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10/4278432",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.