Individual provider Active NPI

Nathan Evin Marshall, M.D.

  • Orthopaedic Surgery Physician
  • Rochester, MI
National Provider Identifier
1548529639
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5401100910 Issued in MI
Practice address
1135 W University Dr Ste 450
Rochester, MI 48307
Phone
(248) 650-2400
Fax
(248) 650-4596
NPI assigned
May 9, 2012
Last updated
May 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5401100910 MI Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 4301100910 MI

Addresses

Primary practice location

1135 W University Dr Ste 450
Rochester, MI 48307

Mailing address

1135 W University Dr Ste 450
Rochester, MI 48307-1871
Phone (248) 650-2400

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
I20180628003135 MI Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5799917605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

1135 W University Dr
Suite 355
Rochester, MI 48307-1871
Phone (248) 652-6640

13350 24 Mile Rd
Shelby Township, MI 48315-1827
Phone (586) 254-2777

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

37771 Schoenherr Rd
Sterling Heights, MI 48312-2302

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5401100910MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince Aug 1, 2018 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Aug 1, 2018 Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Jul 1, 2018 Accepting new patients
Henry Ford Health River District Hospital CurrentSince Dec 1, 2018 Accepting new patients
Henry Ford Health Rochester Hospital Current Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Jul 1, 2018 Accepting new patients
Henry Ford Health River District Hospital CurrentSince Dec 1, 2018 Accepting new patients
Henry Ford Semi Medical Group Current Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients

Locations

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

1135 W University Dr
Ste 355
Rochester Hills, MI 48307
Phone (248) 680-8060

1135 W University Dr
Ste 450
Rochester Hills, MI 48307
Phone (248) 650-2400

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

13350 24 Mile Rd
Ste 700
Shelby Township, MI 48315
Phone (586) 254-2777

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 9

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 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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1548529639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 450",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-650-2400",
            "fax_number": "248-650-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 450",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-650-2400",
            "fax_number": "248-650-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "NATHAN",
        "middle_name": "EVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5401100910",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "4301100910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.