Individual provider Active NPI

Martin P. Gleespen, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Chelsea, MI
National Provider Identifier
1275567828
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MG048067 Issued in MI
Practice address
1290 S Main St
Suite C
Chelsea, MI 48118-1454
Phone
(734) 475-1107
Fax
(734) 475-9230
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MG048067 MI Primary

Addresses

Primary practice location

1290 S Main St
Suite C
Chelsea, MI 48118-1454

Mailing address

1290 S Main St
Suite C
Chelsea, MI 48118-1454
Phone (734) 475-1107

Other identifiers 1

IdentifierTypeStateIssuer
3253813 TYPE 10MedicaidMI

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
I20080403000128 MI Practitioner - Internal Medicine 8628155413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

1290 S Main St
Chelsea, MI 48118-1454
Phone (734) 475-1107

5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505

Hospital & facility affiliations

  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MG048067MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Community Hospital Current Accepting new patients
Chelsea Community Hospital CurrentSince Jun 1, 1981 Accepting new patients
Chelsea Community Hospital CurrentSince Jun 1, 1981 Accepting new patients
Integrated Health Care of Chelsea, P.C. CurrentSince May 1, 1996 Accepting new patients

Locations

1290 S Main St
Ste C
Chelsea, MI 48118
Phone (313) 475-1107

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

Organizations & group practices 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1275567828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 S MAIN ST",
            "address_2": "SUITE C",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181454",
            "telephone_number": "734-475-1107",
            "fax_number": "734-475-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S MAIN ST",
            "address_2": "SUITE C",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181454",
            "telephone_number": "734-475-1107",
            "fax_number": "734-475-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEESPEN",
        "first_name": "MARTIN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "MG048067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3253813 TYPE 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.