Individual provider Active NPI

Mark Jay Fireman, M.D.

  • Radiation Oncology Physician
  • Rochester Hills, MI
National Provider Identifier
1376517987
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301067042 Issued in MI
Practice address
1901 Star Batt Dr
Rochester Hills, MI 48309-3712
Phone
(248) 844-4000
Fax
(248) 844-4072
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center Midland 507 clinicians

Practice addresses (Care Compare)

300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-1101

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20140214001159 MI Practitioner - Radiation Oncology 4981699394 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Dec 18, 2017 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Dec 18, 2017 Accepting new patients
Mymichigan Medical Center Midland Current Accepting new patients
Florida Institute of Research Medicine and Surgery PA Radiation Oncology Past Accepting new patients
X-Ray Treatment Center Radiation Oncology Past Accepting new patients
American Oncologic Associates of Michigan, PC Radiation Oncology Past Accepting new patients
X-Ray Treatment Center, P.C. Radiation Oncology Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

315 E Warwick Dr
Ste C3
Alma, MI 48801
Phone (989) 463-9300

315 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-9300

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Interoperability endpoints

  • Direct secure messaging: mfireman6419@mymichiganhealth.midirect.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME71180 FL
Radiation Oncology Physician 2085R0001X 4301067042 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1901 Star Batt Dr
Rochester Hills, MI 48309-3712

Mailing address

1901 Star Batt Dr
Rochester Hills, MI 48309-3712
Phone (248) 844-4000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1824100MedicaidFL

Other names 1

NPPES NPI Registry
  • Dr. Mark Royle Fireman Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2014.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1376517987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093712",
            "telephone_number": "248-844-4000",
            "fax_number": "248-844-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093712",
            "telephone_number": "248-844-4000",
            "fax_number": "248-844-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIREMAN",
        "first_name": "MARK",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME71180",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301067042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1824100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "FIREMAN",
            "middle_name": "ROYLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.