Individual provider Active NPI

Marcus Rhem, M.D.

  • Ophthalmology Physician
  • Lansing, MI
National Provider Identifier
1043208358
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301067380 Issued in MI
Practice address
1515 Lake Lansing Rd
Suite H
Lansing, MI 48912-3753
Phone
(800) 551-7347
Fax
(517) 487-1331
NPI assigned
Oct 11, 2005
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301067380 MI Primary

Addresses

Primary practice location

1515 Lake Lansing Rd
Suite H
Lansing, MI 48912-3753

Mailing address

850 W North St Ste 104
Jackson, MI 49202-3196
Phone (877) 852-8463

Other identifiers 5

IdentifierTypeStateIssuer
180F373640OtherMIBCBSM
3250446MedicaidMI
180027029OtherRAILROAD MEDICARE
180C846310OtherMIBCBSM
180H149970OtherMIBCBSM

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
I20100109000192 MI Practitioner - Ophthalmology 9234041781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Michigan Eye Care Center PCGroup PAC ID 4486566098, 31 clinicians

Practice addresses (Care Compare)

1515 Lake Lansing Rd
Suite H
Lansing, MI 48912-3752
Phone (517) 487-6511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery470

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Ophthalmology CurrentSince Jul 1, 1996 Accepting new patients
DRS. Ravin, Birndorf & Ravin, Inc. Ophthalmology PastSince Jul 24, 2022 Accepting new patients

Locations

1600 Commerce Park Dr
Ste 100
Chelsea, MI 48118
Phone (734) 475-7359

7397 E Saginaw St
East Lansing, MI 48823
Phone (517) 879-6663

1116 W Ganson St
Jackson, MI 49202
Phone (517) 782-9436

850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790

1515 Lake Lansing Rd
Ste H
Lansing, MI 48912
Phone (517) 487-6511

Organizations & group practices 3

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 3

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1043208358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W NORTH ST STE 104",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023196",
            "telephone_number": "877-852-8463",
            "fax_number": "517-817-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "address_2": "SUITE H",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123753",
            "telephone_number": "800-551-7347",
            "fax_number": "517-487-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEM",
        "first_name": "MARCUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301067380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "180F373640",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3250446",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180027029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "180C846310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "180H149970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.