Active NPI
Juan Luis S Marquez, M.D, MPH
- Public Health & General Preventive Medicine Physician
- Ypsilanti, MI
National Provider Identifier
1164802500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 4301119378
- Practice address
- 555 Towner St
Ypsilanti, MI 48198-5723 - Phone
- (734) 544-3058
- NPI assigned
- Jun 1, 2015
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 4301119378 | MI | Primary |
Addresses
Primary practice location
555 Towner St
Ypsilanti, MI 48198-5723
Mailing address
555 Towner St
Ypsilanti, MI 48198-5723
Phone (734) 544-3058
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151014002055 | MI | Order and Referring Only - Anesthesiology | 3870802820 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301119378 | MI | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston County Treasurer | Past | Accepting new patients | |
| Livingston County Treasurer | Past | Accepting new patients |
Interoperability endpoints
- jmarquez524394@direct.hfhs.org
Organizations & group practices 2
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.
-
- Land Ambulance
- Howell, MI
- NPI 1073516118
-
dba Livingston County Health Department
- Public Health or Welfare Agency
- Howell, MI
- NPI 1700978632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1164802500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 TOWNER ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985723",
"telephone_number": "734-544-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 TOWNER ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985723",
"telephone_number": "734-544-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "JUAN LUIS",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-01",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MI",
"license": "4301119378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.