Active NPI
Gustavo P Morel, MD
- Medical Oncology Physician
- Iron Mountain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 4301077187
- Practice address
- 1711 S Stephenson Ave Ste 315
Iron Mountain, MI 49801-3650 - Phone
- (906) 774-6257
- Fax
- (906) 774-6390
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 4301077187 | MI | Primary |
Addresses
Primary practice location
1711 S Stephenson Ave Ste 315
Iron Mountain, MI 49801-3650
Mailing address
4602 Dept
Carol Stream, IL 60122-4602
Phone (906) 225-4606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301989 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
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
- Hematology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (906) 265-0433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077187 | MI | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Dickinson County Healthcare System | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients |
Locations
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
1711 S Stephenson Ave
Ste 315
Iron Mountain, MI 49801
Phone (906) 774-6257
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
1414 W Fair Ave
Ste 332
Marquette, MI 49855
Phone (906) 225-3910
510 Ashmun St
Ste 5
Sault South Marie, MI 49783
Phone (906) 632-6013
1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
Interoperability endpoints
- gustavo.morel.1@22710.direct.athenahealth.com
- gustavo.morel@marshfieldclinichealthsystem.cernerdirect.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 5
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Marquette, MI
- NPI 1073861431
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Iron River, MI
- NPI 1457865198
Hospital
-
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
-
- Critical Access Hospital
- Iron Mountain, MI
- NPI 1841188604
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1104855030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 DEPT",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601224602",
"telephone_number": "906-225-4606",
"fax_number": "906-225-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 S STEPHENSON AVE STE 315",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013650",
"telephone_number": "906-774-6257",
"fax_number": "906-774-6390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREL",
"first_name": "GUSTAVO",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MI",
"license": "4301077187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4301989",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.