Active NPI
Marshall N Cyrlin, MD
- Ophthalmology Physician
- Bingham Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301045954
- Practice address
- 31500 Telegraph Rd
Ste 005
Bingham Farms, MI 48025-4367 - Phone
- (248) 594-6702
- Fax
- (248) 594-6738
- NPI assigned
- Nov 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301045954 | MI | Primary |
Addresses
Primary practice location
31500 Telegraph Rd
Ste 005
Bingham Farms, MI 48025-4367
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083
Phone (248) 594-6702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1439861 | Medicaid | MI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301045954 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Ophthalmology | Current | Accepting new patients |
Locations
31500 Telegraph Rd
Ste 005
Bingham Farms, MI 48025
Phone (248) 594-6702
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1609867043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "48083",
"telephone_number": "248-594-6702",
"fax_number": "248-594-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31500 TELEGRAPH RD",
"address_2": "STE 005",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254367",
"telephone_number": "248-594-6702",
"fax_number": "248-594-6738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYRLIN",
"first_name": "MARSHALL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301045954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1439861",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.