Active NPI
Joseph Mardelli, M.D.
- Pulmonary Disease Physician
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301077971
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E00425 | Other | MI | BLUE CROSS BLUE SHIELD OF MI |
| 290F349720 | Other | MI | BLUE CROSS |
| 1598700932 | Other | MI | GROUP NPI |
| 4399895 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- McLaren Macomb
- Henry Ford Health St John Hospital
- Beaumont Hospital, Troy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JM077971 | MI | MD | Critical Care Medicine (Internal Medicine) Physician |
| 4301077971 | MI | MD | Pulmonary Disease Physician |
| 43010077971 | MI | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary & Critical Care Associates PC | Pulmonary Disease | Current | Accepting new patients |
| William Beaumont Hospital | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| Critical Care Pulmonary Medicine, PC | Critical Care Medicine | Past | 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
- joseph.mardelli@pcca.eclinicaldirectplus.com
- jmardelli1245124@epic00.shdirect.org
- https://fhir4.healow.com/fhir/r4/IIFJBD
- https://fhir4.healow.com/fhir/r4/ACBBDA
- 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.
-
- Pulmonary Disease Physician
- Shelby TWP, MI
- NPI 1598700932
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1083833875
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- Critical Care Medicine (Internal Medicine) Physician
- Battle Creek, MI
- NPI 1679520712
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.