Individual provider Active NPI

Marek Hansdorfer, MD, MS

  • Surgery of the Hand (Plastic Surgery) Physician
  • Traverse City, MI
National Provider Identifier
1467846006
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
4301514490 Issued in MI
Practice address
701 W Front St
Traverse City, MI 49684-2287
Phone
(231) 935-0800
Fax
(231) 935-0808
NPI assigned
Mar 21, 2015
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X BP10087150 TX
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 4301514490 MI Primary

Addresses

Primary practice location

701 W Front St
Traverse City, MI 49684-2287

Mailing address

701 W Front St
Traverse City, MI 49684-2287
Phone (231) 935-0800

Other practice location 1

14695 Park Ave Ste A
Charlevoix, MI 49720-1920
Phone (231) 547-2812

Other practice location 2

1 Baylor Plz
Houston, TX 77030-3498
Phone (713) 798-4951

Other practice location 3

8872 Professional Dr Ste B
Cadillac, MI 49601-8482
Phone (231) 779-0320

Other practice location 4

2147 Professional Dr
Gaylord, MI 49735-0003
Phone (989) 732-1753

Other practice location 5

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6090

Other practice location 6

8881 M 119
Harbor Springs, MI 49740-9816
Phone (231) 487-2270

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
I20250731000474 MI Practitioner - Plastic and Reconstructive Surgery 1850601832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 935-0338

701 W Front St
Suite 100
Traverse City, MI 49684-2287
Phone (231) 935-0800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301514490MIMDSurgery of the Hand (Plastic Surgery) Physician
BP10087150TXMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery of Northern Michigan PLC Surgery of the Hand CurrentSince Jul 8, 2025 Accepting new patients
Hand Surgery of Northern Michigan PLC CurrentSince Jul 8, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Past Accepting new patients

Locations

701 W Front St
Ste 100
Traverse City, MI 49684
Phone (231) 935-0800

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1426896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1467846006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842287",
            "telephone_number": "231-935-0800",
            "fax_number": "231-935-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842287",
            "telephone_number": "231-935-0800",
            "fax_number": "231-935-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14695 Park Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201920",
            "country_code": "US",
            "telephone_number": "231-547-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303498",
            "country_code": "US",
            "telephone_number": "713-798-4951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8872 Professional Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018482",
            "country_code": "US",
            "telephone_number": "231-779-0320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2147 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497350003",
            "country_code": "US",
            "telephone_number": "989-732-1753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497709256",
            "country_code": "US",
            "telephone_number": "231-417-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8881 M 119",
            "address_purpose": "LOCATION",
            "city": "Harbor Springs",
            "state": "MI",
            "postal_code": "497409816",
            "country_code": "US",
            "telephone_number": "231-487-2270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSDORFER",
        "first_name": "MAREK",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-21",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "BP10087150",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "4301514490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.