Individual provider Active NPI

Martin F McGough, M.D.

  • Cardiovascular Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1245233352
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MM073313 Issued in MI
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

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
060050053OtherMIRAILROAD MEDICARE
3507497MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000804 MI Practitioner - Cardiovascular Disease (Cardiology) 9335037720 Reassigns benefits to 3 organizations

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
Academic Cardiology Associates, PCGroup PAC ID 8224923180, 9 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

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

LicenseStateTypeSpecialty
MM073313MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Oakland Adult Medicine PC Current Accepting new patients
Arcturus Healthcare PLC CurrentSince Jan 1, 2014 Accepting new patients
Academic Cardiology Associates, PC Cardiovascular Disease CurrentSince Nov 1, 1998 Accepting new patients
Arcturus Healthcare PLC CurrentSince Jan 1, 2014 Accepting new patients
Silver Pine Medical Group PLC CurrentSince May 1, 2015 Accepting new patients
Bayside Family Medicine Chesterfield PC PastSince Oct 6, 2009 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.