Individual provider Active NPI

Joseph Mardelli, M.D.

  • Pulmonary Disease Physician
  • Shelby Township, MI
National Provider Identifier
1376543538
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301077971 Issued in MI
Practice address
50505 Schoenherr Rd Ste 290
Shelby Township, MI 48315-3141
Phone
(586) 314-0080
Fax
(877) 673-3562
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X JM077971 MI
Pulmonary Disease Physician 207RP1001X JM077971 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 43010077971 MI
Pulmonary Disease Physician 207RP1001X 4301077971 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd Ste 290
Shelby Township, MI 48315-3141

Mailing address

50505 Schoenherr Rd
Suite 290
Shelby Township, MI 48315-3140
Phone (586) 314-0080

Other practice location 1

25689 Kelly Rd
Suite 100
Roseville, MI 48066-4993
Phone (586) 445-5995

Other identifiers 4

IdentifierTypeStateIssuer
0E00425OtherMIBLUE CROSS BLUE SHIELD OF MI
290F349720OtherMIBLUE CROSS
1598700932OtherMIGROUP NPI
4399895MedicaidMI

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
I20040615001408 MI Practitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 4486641859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Critical Care Associates PCGroup PAC ID 0547250607, 19 clinicians

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 290
Shelby Township, MI 48315-3141
Phone (586) 314-0080

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JM077971MIMDCritical Care Medicine (Internal Medicine) Physician
4301077971MIMDPulmonary Disease Physician
43010077971MIMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Critical Care Associates PC Pulmonary Disease CurrentSince Oct 15, 2008 Accepting new patients
William Beaumont Hospital Current Accepting new patients
William Beaumont Hospital CurrentSince Nov 23, 2013 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 24, 2018 Accepting new patients
William Beaumont Hospital CurrentSince Nov 23, 2013 Accepting new patients
Critical Care Pulmonary Medicine, PC Critical Care Medicine PastSince Mar 30, 2022 Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

18720 Mack Ave
Ste 100
Grosse Pointe Farms, MI 48236
Phone (586) 314-0080

15959 Hall Rd
Ste 100
Macomb, MI 48044
Phone (586) 416-5940

25689 Kelly Rd
Ste 100
Roseville, MI 48066
Phone (586) 445-5995

3601 W 13 Mile Rd
Royal Oak, MI 48073

26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000

50505 Schoenherr Rd
Ste 290
Shelby Township, MI 48315
Phone (248) 879-5620

25319 Little Mack Ave
St Clr Shores, MI 48081
Phone (586) 447-4000

Interoperability endpoints

  • Direct secure messaging: joseph.mardelli@pcca.eclinicaldirectplus.com
  • Direct secure messaging: jmardelli1245124@epic00.shdirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBBDA
  • Direct secure messaging: jmardelli58845@direct.hfhs.org

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 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1376543538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 290",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 290",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25689 Kelly Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480664993",
            "country_code": "US",
            "telephone_number": "586-445-5995",
            "fax_number": "877-673-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARDELLI",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "JM077971",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "JM077971",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "43010077971",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301077971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI",
            "identifier": "0E00425",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "290F349720",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598700932",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4399895",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.