Individual provider Active NPI

Jospeh B Marogil, M.D.

  • Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1285662833
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
JM032810 Issued in MI
Practice address
1720 Michigan St NE
Grand Rapids, MI 49503-2018
Phone
(616) 454-8442
Fax
(616) 454-5044
NPI assigned
Jun 30, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 JM032810 MI Primary

Addresses

Primary practice location

1720 Michigan St NE
Grand Rapids, MI 49503-2018

Mailing address

1720 Michigan St NE
Grand Rapids, MI 49503-2018
Phone (616) 454-8442

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
I20061121000452 MI Practitioner - General Surgery 3173521481 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JM032810MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration Mi PLLC CurrentSince Mar 1, 2015 Accepting new patients
Center for Vein Restoration Mi PLLC Surgery CurrentSince Mar 1, 2015 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

1720 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 454-8442

3810 W Centre Ave
Ste A
Portage, MI 49024

15255 Northline Rd
Southgate, MI 48195
Phone (734) 285-3090

Interoperability endpoints

  • Direct secure messaging: joseph.marogil.p3@direct.cvr.nextgenshare.com

Organizations & group practices 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285662833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032018",
            "telephone_number": "616-454-8442",
            "fax_number": "616-454-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032018",
            "telephone_number": "616-454-8442",
            "fax_number": "616-454-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROGIL",
        "first_name": "JOSPEH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "JM032810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.