Active NPI
Martin F McGough, M.D.
- Cardiovascular Disease Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MM073313
- Practice address
- 1701 South Blvd E
Ste 390
Rochester Hills, MI 48307-6117 - Phone
- (248) 293-0055
- Fax
- (248) 293-3348
- NPI assigned
- May 23, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MM073313 | MI | Primary |
Addresses
Primary practice location
1701 South Blvd E
Ste 390
Rochester Hills, MI 48307-6117
Mailing address
1701 South Blvd E
Ste 390
Rochester Hills, MI 48307-6117
Phone (248) 293-0055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060050053 | Other | MI | RAILROAD MEDICARE |
| 3507497 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmcgough9960@direct.beaumont.edu |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Michigan Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
1701 S Blvd E
Suite 390
Rochester Hills, MI 48307-6117
Phone (248) 293-0055
44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MM073313 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Oakland Adult Medicine PC | Current | Accepting new patients | |
| Arcturus Healthcare PLC | Current | Accepting new patients | |
| Academic Cardiology Associates, PC | Cardiovascular Disease | Current | Accepting new patients |
| Arcturus Healthcare PLC | Current | Accepting new patients | |
| Silver Pine Medical Group PLC | Current | Accepting new patients | |
| Bayside Family Medicine Chesterfield PC | Past | Accepting new patients |
Locations
31225 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 598-2900
48801 Romeo Plank Rd
Ste 103
Macomb, MI 48044
15959 Hall Rd
Ste 110
Macomb, MI 48044
48801 Romeo Plank Rd
Macomb, MI 48044
Phone (248) 689-1000
1701 South Blvd E
Ste 240
Rochester Hills, MI 48307
Phone (248) 997-7000
1701 South Blvd E
Ste 390
Rochester Hills, MI 48307
Phone (248) 293-0055
1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000
3601 W 13 Mile Rd
Royal Oak, MI 48073
43455 Schoenherr Rd
Ste 2
Sterling Hts, MI 48313
Phone (586) 884-2712
44201 Dequindre Rd
Ste 250
Troy, MI 48085
Phone (248) 577-9700
57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020
Interoperability endpoints
- mmcgough9960@direct.beaumont.edu
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Rochester Hills, MI
- NPI 1043257280
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1326487901
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1639105695
-
- Family Medicine Physician
- Rochester Hills, MI
- NPI 1497277099
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1669576120
-
- Family Medicine Physician
- Chesterfield, MI
- NPI 1790018315
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1245233352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "STE 390",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076117",
"telephone_number": "248-293-0055",
"fax_number": "248-293-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "STE 390",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076117",
"telephone_number": "248-293-0055",
"fax_number": "248-293-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOUGH",
"first_name": "MARTIN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "MM073313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060050053",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3507497",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmcgough9960@direct.beaumont.edu",
"affiliation": "N",
"address_1": "1701 South Blvd E",
"address_2": "Ste 390",
"city": "Rochester Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483076117",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.