Individual provider Active NPI

Nathan Mandel Mollberg, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Galesburg, MI
National Provider Identifier
1053601195
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
5101021356 Issued in MI
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

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808000414 MI Practitioner - Thoracic Surgery 3971720384 Reassigns benefits to 6 organizations

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
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
125.051876ILMDSurgery Physician
5101021356MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing CurrentSince Oct 1, 2024 Accepting new patients
McLaren Lapeer Region Current Accepting new patients
McLaren Northern Michigan CurrentSince Jan 13, 2025 Accepting new patients
McLaren Flint Surgery CurrentSince Oct 1, 2024 Accepting new patients
Bronson Methodist Hospital CurrentSince Sep 1, 2014 Accepting new patients
McLaren Bay Region Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2024 Accepting new patients
McLaren Flint CurrentSince Oct 1, 2024 Accepting new patients
McLaren Lapeer Region CurrentSince Oct 1, 2024 Accepting new patients
McLaren Lapeer Region Surgery CurrentSince Oct 1, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Jan 13, 2025 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
McLaren Bay Region CurrentSince Oct 1, 2024 Accepting new patients
McLaren Greater Lansing Surgery CurrentSince Oct 1, 2024 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.