Individual provider Active NPI

Marlis Lange, MD

  • Emergency Medicine Physician
  • Hastings, MI
National Provider Identifier
1164495669
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-105447 Issued in IL
Practice address
1998 Star School Rd
Hastings, MI 49058-8784
Phone
(269) 948-3922
NPI assigned
Feb 7, 2006
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-105447 IL Primary

Addresses

Primary practice location

1998 Star School Rd
Hastings, MI 49058-8784

Mailing address

1998 Star School Rd
Hastings, MI 49058-8784
Phone (269) 948-3922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040804000622 IL Practitioner - Emergency Medicine 6204807118 Reassigns benefits to 1 organization
I20041019000035 MI Practitioner - Emergency MedicinePractitioner - Family Practice 6204807118 Reassigns benefits to 4 organizations
I20140430001381 IN Practitioner - Emergency MedicinePractitioner - Family Practice 6204807118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians

Practice addresses (Care Compare)

1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-105447ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince Nov 9, 2017 Accepting new patients
Bronson Methodist Hospital CurrentSince Apr 1, 2015 Accepting new patients
Northern Michigan Emergency Physicians, LLP Emergency Medicine Current Accepting new patients
Northern Michigan Emergency Physicians, LLP Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Iems Physician Services PLLC Emergency Medicine CurrentSince Apr 20, 2024 Accepting new patients
Northern Michigan Emergenc Physicians, LLP Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Hospitalmd of Caro Ip, Inc. Past Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients
Depot Emergency Physicians Emergency Medicine Past Accepting new patients
Michigan Em-I Medical Services, P.C. Past Accepting new patients
Michigan Em-I Medical Services, P.C. Emergency Medicine Past Accepting new patients
Lakeshore Emergency Solutions, PLLC Emergency Medicine Past Accepting new patients
Flowing Waters Emergency Physicians Emergency Medicine Past Accepting new patients
Horizon Emergency Physicians, P. C. Emergency Medicine Past Accepting new patients

Locations

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Interoperability endpoints

  • Direct secure messaging: mlange@yourcarecommunity.org

Organizations & group practices 16

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.

View all 16

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1164495669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 STAR SCHOOL RD",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588784",
            "telephone_number": "269-948-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 STAR SCHOOL RD",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588784",
            "telephone_number": "269-948-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "MARLIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-105447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

Verify at the official NPI Registry.