Individual provider Active NPI

Carlo A Marceau, PA

  • Physician Assistant
  • Bloomfield Hills, MI
National Provider Identifier
1154038222
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
42557 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-5206
Phone
(248) 333-1170
Fax
(248) 333-1175
NPI assigned
Oct 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

42557 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-5206

Mailing address

42557 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-5206

Other practice location 1

8391 Commerce Rd
Ste 105
Farmington Hills, MI 48334-3227
Phone (248) 365-6880

Other practice location 2

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128000874 MI Practitioner - Physician Assistant 7911375803 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, shared by 10 NPIs, 525 clinicians

Practice addresses (Care Compare)

8391 Commerce Rd
Suite 105
Commerce Township, MI 48382-4489
Phone (248) 365-6880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC PastSince Jun 29, 2026 Accepting new patients
Michigan Healthcare Professionals PC PastSince Jun 29, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cmarceau2899143@direct.trinity-health.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1154038222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-333-1170",
            "fax_number": "248-333-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8391 COMMERCE RD",
            "address_2": "STE 105",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483343227",
            "country_code": "US",
            "telephone_number": "248-365-6880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "274 E Chicago St",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MI",
            "postal_code": "490362041",
            "country_code": "US",
            "telephone_number": "517-279-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCEAU",
        "first_name": "CARLO",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-28",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.