Active NPI
Robert Lewis Marchese, MD
- Pulmonary Disease Physician
- Roseville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301055901
- Practice address
- 25810 Kelly Rd
Suite 3
Roseville, MI 48066-4467 - Phone
- (586) 777-9724
- Fax
- (586) 777-9725
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 4301055901 | MI | Primary |
Addresses
Primary practice location
25810 Kelly Rd
Suite 3
Roseville, MI 48066-4467
Mailing address
25810 Kelly Rd
Suie 3
Roseville, MI 48066-4467
Phone (586) 777-9724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4832040-10 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmarchese23362@direct.beaumont.edu |
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
- Pulmonary Disease
- Education
- Wayne State University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25810 Kelly Rd
Suite 3
Roseville, MI 48066-4467
Phone (586) 541-8419
Hospital & facility affiliations
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.47 of 100
- Quality
- 87.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301055901 | MI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Surgical Specialty Group LLC | Past | Accepting new patients | |
| William D Hanna MD PC | Pulmonary Disease | Past | Accepting new patients |
Locations
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
16815 E Jefferson Ave
Ste 240
Grosse Pointe, MI 48230
Phone (313) 473-4690
Interoperability endpoints
- rmarchese1140150@direct.hfhs.org
- rmarchese23362@direct.beaumont.edu
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- Roseville, MI
- NPI 1578534061
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Surgery Physician
- Clinton TWP, MI
- NPI 1215122437
-
- Pulmonary Disease Physician
- Roseville, MI
- NPI 1558541524
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1043290232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25810 KELLY RD",
"address_2": "SUIE 3",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664467",
"telephone_number": "586-777-9724",
"fax_number": "586-777-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25810 KELLY RD",
"address_2": "SUITE 3",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664467",
"telephone_number": "586-777-9724",
"fax_number": "586-777-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHESE",
"first_name": "ROBERT",
"middle_name": "LEWIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301055901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4832040-10",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmarchese23362@direct.beaumont.edu",
"affiliation": "N",
"address_1": "25810 Kelly Rd",
"address_2": "Suite 3",
"city": "Roseville",
"state": "MI",
"country_code": "US",
"postal_code": "480664467",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.