Individual provider Active NPI

Marko Martinovski, M.D.

  • Surgery Physician
  • Birmingham, MI
National Provider Identifier
1164816013
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301107142 Issued in MI
Practice address
950 E Maple Rd Ste L4
Birmingham, MI 48009-6482
Phone
(313) 580-7893
NPI assigned
Mar 27, 2015
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 4301107142 MI
Surgery Physician 208600000X 4301107142 MI Primary

Addresses

Primary practice location

950 E Maple Rd Ste L4
Birmingham, MI 48009-6482

Mailing address

950 E Maple Rd Ste L4
Birmingham, MI 48009-6482

Other practice location 1

5333 McAuley Drive, Academic Surgery Clinic
Suite 2115
Ypsilanti, MI 48197-8633
Phone (734) 712-3971

Other practice location 2

31450 Ford Rd
Garden City, MI 48135-1820
Phone (734) 268-1333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312001051 MI Practitioner - General Surgery 7416262431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Practice addresses (Care Compare)

23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908
Phone (734) 333-8001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Urgent Care PC Urgent Care CurrentSince Sep 15, 2022 Accepting new patients

Locations

23455 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (734) 333-8001

31450 Ford Rd
Garden City, MI 48135
Phone (734) 268-1333

31450 Ford Rd
Ste A
Garden City, MI 48135
Phone (313) 438-6094

Interoperability endpoints

  • Direct secure messaging: marko.martinovski.1@20203.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1164816013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E MAPLE RD STE L4",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAPLE RD STE L4",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096482",
            "telephone_number": "313-580-7893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5333 McAuley Drive, Academic Surgery Clinic",
            "address_2": "Suite 2115",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481978633",
            "country_code": "US",
            "telephone_number": "734-712-3971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31450 Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481351820",
            "country_code": "US",
            "telephone_number": "734-268-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINOVSKI",
        "first_name": "MARKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301107142",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301107142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.