Individual provider Active NPI

Michael Scott Nosanov, MD

  • Otolaryngology Physician
  • Marshall, MI
National Provider Identifier
1154385805
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01075631A Issued in MI
Practice address
215 E Mansion St Ste 2D
Marshall, MI 49068-1167
Phone
(269) 789-0015
NPI assigned
Apr 12, 2006
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MN053930 MI
Otolaryngology Physician 207Y00000X 01075631A MI Primary

Addresses

Primary practice location

215 E Mansion St Ste 2D
Marshall, MI 49068-1167

Mailing address

200 N Madison St
Marshall, MI 49068-1143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160113001782 OH Practitioner - Otolaryngology 1254398167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Community Health Associates, Inc.Group PAC ID 0941114250, 100 clinicians

Practice addresses (Care Compare)

121 Westfield Dr
Archbold, OH 43502-1056
Phone (260) 266-8210

433 W High St
Bryan, OH 43506-1690
Phone (419) 630-2028

442 W High St
Bryan, OH 43506-1681
Phone (260) 266-8210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
71.58

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as group
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
72.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MN053930MIMDSpecialist
01075631AMIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitals and Wellness Centers CurrentSince Jan 4, 2016 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Jan 4, 2016 Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince May 21, 2024 Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince May 21, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Community Hospitals and Wellness Centers Past Accepting new patients

Locations

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

Interoperability endpoints

  • Direct secure messaging: mnosanov90322@direct.parkviewexchange.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1154385805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MANSION ST STE 2D",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681167",
            "telephone_number": "269-789-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSANOV",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "MN053930",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "01075631A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.