Individual provider Active NPI

Michael Marcotte, MD

  • Maternal & Fetal Medicine Physician
  • Carmel, IN
National Provider Identifier
1326046889
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
01090206A Issued in IN
Practice address
13420 N Meridian St Ste 200
Carmel, IN 46032-1581
Phone
(317) 415-8100
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 35064499M OH
Maternal & Fetal Medicine Physician 207VM0101X 38538 KY
Maternal & Fetal Medicine Physician 207VM0101X MED-PHYS-LIC-106290 MT
Maternal & Fetal Medicine Physician 207VM0101X 74062 MN
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 35064499 OH
Maternal & Fetal Medicine Physician 207VM0101X 01090206A IN Primary

Addresses

Primary practice location

13420 N Meridian St Ste 200
Carmel, IN 46032-1581

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 853-4721

Other practice location 1

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2445

Other practice location 2

2203 Fulton Ave
Cincinnati, OH 45206-2504
Phone (513) 961-4663

Other practice location 3

375 Dixmyth Ave
8th Floor
Cincinnati, OH 45220-2475
Phone (513) 862-6200

Other practice location 4

8081 Township Line Rd
Indianapolis, IN 46260-2087
Phone (317) 415-7921

Other practice location 5

715 S 8th St
Minneapolis, MN 55404-1210
Phone (612) 873-6963

Other practice location 6

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-6000

Other identifiers 1

IdentifierTypeStateIssuer
2020468MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DEPTLHREVIntegrityHIMTechs@logan.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050203000265 OH Practitioner - Obstetrics/Gynecology 5890751457 Reassigns benefits to 2 organizations
I20230727000647 MN Practitioner - Obstetrics/Gynecology 5890751457 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Toledo College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healtheast Medical Research InstituteGroup PAC ID 3971407636, 665 clinicians
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

1700 University Ave W
FL 1
Saint Paul, MN 55104-3727
Phone (651) 232-2002

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01090206AINMDMaternal & Fetal Medicine Physician
38538KYMDMaternal & Fetal Medicine Physician
74062MNMDMaternal & Fetal Medicine Physician
MED-PHYS-LIC-106290MTMDMaternal & Fetal Medicine Physician
35064499MOHMDMaternal & Fetal Medicine Physician
35064499OHMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute CurrentSince Dec 1, 2024 Accepting new patients
Children'S Hospital Medical Center CurrentSince Jul 2, 2014 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
University of Minnesota Physicians CurrentSince Dec 26, 2024 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jan 1, 2024 Accepting new patients
Northfield Hospital CurrentSince Feb 1, 2025 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Dec 26, 2024 Accepting new patients
Fairview Clinics Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Dec 26, 2024 Accepting new patients
Fairview Express Care CurrentSince Jul 14, 2023 Accepting new patients
Fairview Express Care CurrentSince Jul 14, 2023 Accepting new patients
Northfield Hospital CurrentSince Feb 1, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics CurrentSince Apr 1, 2025 Accepting new patients
Northfield Hospital Current Accepting new patients
University of Minnesota Physicians Current Accepting new patients
University of Minnesota Physicians CurrentSince Dec 26, 2024 Accepting new patients
Fairview Clinics CurrentSince Apr 1, 2025 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jan 1, 2024 Accepting new patients
Fairview Health Services Past Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

606 24th Ave S
Ste 400
Minneapolis, MN 55454
Phone (612) 273-2223

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Fl 8
Cincinnati, OH 45220
Phone (513) 862-6200

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: michael.marcotte.1@7598.direct.athenahealth.com
  • Direct secure messaging: mmarcotte786543@fairview.direct-ci.com

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1326046889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-853-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 N MERIDIAN ST STE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321581",
            "telephone_number": "317-415-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-301-2445",
            "fax_number": "859-344-5552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2203 Fulton Ave",
            "address_purpose": "LOCATION",
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            "state": "OH",
            "postal_code": "452062504",
            "country_code": "US",
            "telephone_number": "513-961-4663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Dixmyth Ave",
            "address_2": "8th Floor",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-6200",
            "fax_number": "513-862-4358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 Township Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602087",
            "country_code": "US",
            "telephone_number": "317-415-7921",
            "fax_number": "174-157-9213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554041210",
            "country_code": "US",
            "telephone_number": "612-873-6963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541450",
            "country_code": "US",
            "telephone_number": "612-672-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCOTTE",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35064499M",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "38538",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-106290",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MN",
            "license": "74062",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35064499",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01090206A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020468",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DEPTLHREVIntegrityHIMTechs@logan.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "210 Sunnyview Ln Ste 103",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.