Individual provider Active NPI

Neal Edward Obermyer, M.D.

  • Otolaryngology Physician
  • Fort Gratiot, MI
National Provider Identifier
1518947977
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
NO054737 Issued in MI
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F77961OtherMIHAP
127760OtherMICARE CHOICES
1912162005OtherMICIGNA
040015414OtherMIRRMCR
0407411191OtherMIBCBS OF MICHIGAN
4474473OtherMIAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NO054737MIMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Interoperability endpoints

  • Direct secure messaging: nobermyer1143225@direct.hfhs.org
  • Direct secure messaging: 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.

Verify at the official NPI Registry.