NPIMap

Individual provider Active NPI

Michael Vernon Hollis, MD

  • Surgery Physician
  • West Branch, MI
National Provider Identifier
1215386115
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301508144 Issued in MI
Practice address
2431 S M 30 Ste 216
West Branch, MI 48661-9388
Phone
(989) 343-1134
NPI assigned
Jun 10, 2016
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301508144 MI Primary

Addresses

Primary practice location

2431 S M 30 Ste 216
West Branch, MI 48661-9388

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

Other practice location 1

7351 E Osborn Rd Ste 200B
Scottsdale, AZ 85251-6451
Phone (480) 882-5730

Other practice location 2

1500 E Michigan Ave
Suite 655
Lansing, MI 48912
Phone (517) 267-2487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010002853 MI Practitioner - General Surgery 5395036701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center TawasGroup PAC ID 9638070766, 36 clinicians

Practice addresses (Care Compare)

200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 362-3411

2431 S M
30 Suite 216
West Branch, MI 48661-9388
Phone (989) 343-1130

295 Maple St
Tawas City, MI 48763-9352

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301508144MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Tawas Current Accepting new patients
Mymichigan Medical Center Tawas Surgery CurrentSince Aug 11, 2025 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Oct 5, 2022 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Aug 11, 2025 Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

2431 S M 30
Ste 216
West Branch, MI 48661
Phone (989) 343-1134

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

Interoperability endpoints

  • Direct secure messaging: mhollis128821@mymichiganhealth.midirect.net

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 9

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1215386115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-839-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 S M 30 STE 216",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619388",
            "telephone_number": "989-343-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7351 E Osborn Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516451",
            "country_code": "US",
            "telephone_number": "480-882-5730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Michigan Ave",
            "address_2": "Suite 655",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "48912",
            "country_code": "US",
            "telephone_number": "517-267-2487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "MICHAEL",
        "middle_name": "VERNON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301508144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.