Active NPI
Nathan Mandel Mollberg, D.O.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Galesburg, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 5101021356
- Practice address
- 953 N 35TH St
Galesburg, MI 49053-9727 - Phone
- (269) 305-7411
- NPI assigned
- Apr 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 5101021356 | MI | Primary |
| Surgery Physician | 208600000X | 125.051876 | IL |
Addresses
Primary practice location
953 N 35TH St
Galesburg, MI 49053-9727
Mailing address
953 N 35TH St
Galesburg, MI 49053-9727
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
- Cardiovascular Disease (Cardiology)
- Education
- Michigan State University College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3520 Forest Rd
Lansing, MI 48910-3720
Phone (877) 296-0111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.43 of 100
- Quality
- 75.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.051876 | IL | MD | Surgery Physician |
| 5101021356 | MI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Greater Lansing | Current | Accepting new patients | |
| McLaren Lapeer Region | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Flint | Surgery | Current | Accepting new patients |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| McLaren Bay Region | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| McLaren Flint | Current | Accepting new patients | |
| McLaren Lapeer Region | Current | Accepting new patients | |
| McLaren Lapeer Region | Surgery | Current | Accepting new patients |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Greater Lansing | Current | Accepting new patients | |
| Patholgy Services of Kalamazoo, PC | Current | Accepting new patients | |
| McLaren Bay Region | Current | Accepting new patients | |
| McLaren Greater Lansing | Surgery | Current | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
601 John St
Ste M406
Kalamazoo, MI 49007
Phone (269) 341-7333
601 John St
Ste M-460
Kalamazoo, MI 49007
Phone (269) 341-7333
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
405 W Greenlawn Ave
Ste 305
Lansing, MI 48910
Phone (517) 483-4780
3520 Forest Rd
Lansing, MI 48910
Phone (517) 975-7800
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000
2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
Interoperability endpoints
- nmollberg39872@direct.bronsonhg.org
Organizations & group practices 14
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.
-
- Gynecologic Oncology Physician
- Lansing, MI
- NPI 1265600902
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
- Family Medicine Physician
- Bay City, MI
- NPI 1508131087
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Certified Registered Nurse Anesthetist
- Lapeer, MI
- NPI 1124151147
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
- Psychiatry Physician
- Bay City, MI
- NPI 1942560339
-
- Social Worker
- Flint, MI
- NPI 1356480685
-
- Family Medicine Physician
- Lansing, MI
- NPI 1962808162
-
- Multi-Specialty Clinic/Center
- Lapeer, MI
- NPI 1740313667
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1053601195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 N 35TH ST",
"city": "GALESBURG",
"state": "MI",
"postal_code": "490539727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 N 35TH ST",
"city": "GALESBURG",
"state": "MI",
"postal_code": "490539727",
"telephone_number": "269-305-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLBERG",
"first_name": "NATHAN",
"middle_name": "MANDEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "5101021356",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125.051876",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.