Active NPI
Marek Hansdorfer, MD, MS
- Surgery of the Hand (Plastic Surgery) Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- 4301514490
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301514490 | MI | MD | Surgery of the Hand (Plastic Surgery) Physician |
| BP10087150 | TX | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Surgery of Northern Michigan PLC | Surgery of the Hand | Current | Accepting new patients |
| Hand Surgery of Northern Michigan PLC | Current | 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.
-
dba Traverse Bay Hand Therapy PLC
- Orthopaedic Hand Surgery Physician
- Traverse City, MI
- NPI 1497778765
-
dba Munson Healthcare OMH Medical Group-Gaylord RHC
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
dba Charlevoix Physician Specialists, Charlevoix Women's Healthcare
- Otolaryngology Physician
- Charlevoix, MI
- NPI 1629154307
-
dba Traverse Bay Hand Therapy PLC
- Durable Medical Equipment & Medical Supplies
- Traverse City, MI
- NPI 1356487870
Surgery of the Hand
-
dba Munson Healthcare OMH Medical Group-Gaylord
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.