Individual provider Active NPI

Robert Lewis Marchese, MD

  • Pulmonary Disease Physician
  • Roseville, MI
National Provider Identifier
1043290232
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301055901 Issued in MI
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

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4832040-10MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000956 MI Practitioner - Pulmonary Disease 1153344874 Reassigns benefits to 2 organizations

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
Robert L Marchese MD Diseases of the Lung PLLCGroup PAC ID 9436173010, 2 clinicians

Practice addresses (Care Compare)

25810 Kelly Rd
Suite 3
Roseville, MI 48066-4467
Phone (586) 541-8419

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
92.47 of 100Reported as group
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

LicenseStateTypeSpecialty
4301055901MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Sep 23, 2019 Accepting new patients
Surgical Specialty Group LLC PastSince Oct 29, 2005 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

  • Direct secure messaging: rmarchese1140150@direct.hfhs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.