Active NPI
Neal Edward Obermyer, M.D.
- Otolaryngology Physician
- Fort Gratiot, MI
National Provider Identifier
1518947977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- NO054737
- Practice address
- 3838 Spartan Drive
Fort Gratiot, MI 48059 - Phone
- (810) 434-6542
- Fax
- (810) 982-0716
- NPI assigned
- Jan 20, 2006
- Last updated
- Mar 12, 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 |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | NO054737 | MI | |
| Otolaryngology Physician | 207Y00000X | NO054737 | MI | Primary |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | NO054737 | MI |
Addresses
Primary practice location
3838 Spartan Drive
Fort Gratiot, MI 48059
Mailing address
3838 Spartan Drive
Fort Gratiot, MI 48059
Phone (810) 434-6542
Other practice location 1
1522 Pine Grove Ave
Suite A
Port Huron, MI 48060-3382
Phone (810) 982-3277
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F77961 | Other | MI | HAP |
| 127760 | Other | MI | CARE CHOICES |
| 1912162005 | Other | MI | CIGNA |
| 040015414 | Other | MI | RRMCR |
| 0407411191 | Other | MI | BCBS OF MICHIGAN |
| 4474473 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NO054737 | MI | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Interoperability endpoints
- nobermyer1143225@direct.hfhs.org
- neal.obermyer.1@28062.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1518947977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 SPARTAN DRIVE",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "48059",
"telephone_number": "810-434-6542",
"fax_number": "810-982-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 SPARTAN DRIVE",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "48059",
"telephone_number": "810-434-6542",
"fax_number": "810-982-0716"
}
],
"practiceLocations": [
{
"address_1": "1522 Pine Grove Ave",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Port Huron",
"state": "MI",
"postal_code": "480603382",
"country_code": "US",
"telephone_number": "810-982-3277",
"fax_number": "810-982-0716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBERMYER",
"first_name": "NEAL",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "MI",
"license": "NO054737",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "NO054737",
"primary": true
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "MI",
"license": "NO054737",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "F77961",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "127760",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1912162005",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "040015414",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "0407411191",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4474473",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Gratiot, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.