Individual provider Active NPI

Alcides E Gil-Acosta, M.D.

  • Pulmonary Disease Physician
  • Marshall, MI
National Provider Identifier
1487614343
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
081034 Issued in MI
Practice address
103 E Mansion St
Ricketson BLDG
Marshall, MI 49068-1117
Phone
(269) 781-2658
Fax
(269) 781-2936
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 081034 MI Primary

Addresses

Primary practice location

103 E Mansion St
Ricketson BLDG
Marshall, MI 49068-1117

Mailing address

103 E Mansion St
Ricketson BLDG
Marshall, MI 49068-1117
Phone (269) 781-2658

Other identifiers 1

IdentifierTypeStateIssuer
4462101MedicaidMI

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
I20070301000479 MI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0547260705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

103 E Mansion St
Marshall, MI 49068-1117
Phone (269) 781-2658

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081034MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Pulmonary Disease Current Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Jan 1, 2009 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Jan 1, 2009 Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients

Locations

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

103 E Mansion St
Marshall, MI 49068
Phone (269) 781-2658

2218 US Highway 27 N
Tekonsha, MI 49092
Phone (517) 767-4038

Interoperability endpoints

  • Direct secure messaging: alcides.gil.acosta.1@9698.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1487614343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MANSION ST",
            "address_2": "RICKETSON BLDG",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681117",
            "telephone_number": "269-781-2658",
            "fax_number": "269-781-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MANSION ST",
            "address_2": "RICKETSON BLDG",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681117",
            "telephone_number": "269-781-2658",
            "fax_number": "269-781-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL-ACOSTA",
        "first_name": "ALCIDES",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "081034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4462101",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.