NPIMap

Individual provider Active NPI

Mark E Staniforth, MD

  • Nephrology Physician
  • Muskegon, MI
National Provider Identifier
1619978707
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5315016730 Issued in MI
Practice address
1250 Mercy Dr
Ste 101
Muskegon, MI 49444-1881
Phone
(231) 739-6375
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 5315016730 MI Primary

Addresses

Primary practice location

1250 Mercy Dr
Ste 101
Muskegon, MI 49444-1881

Mailing address

1250 Mercy Dr
Ste 101
Muskegon, MI 49444-1881
Phone (231) 733-1912

Other identifiers 1

IdentifierTypeStateIssuer
4625118MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707001201 MI Practitioner - NephrologyPractitioner - Internal Medicine 5294713285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Nephrology PLLCGroup PAC ID 5395642953, 8 clinicians

Practice addresses (Care Compare)

1250 Mercy Dr
Suite 101
Muskegon, MI 49444-1881
Phone (231) 733-1912

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315016730MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Nephrology PLLC Nephrology CurrentSince Jul 1, 2004 Accepting new patients

Locations

1250 Mercy Dr
Ste 101
Muskegon, MI 49444
Phone (231) 733-1912

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mark.staniforth@direct.davitaphysiciansolutions.com

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.

Hospital & facility affiliations 10

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619978707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MERCY DR",
            "address_2": "STE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441881",
            "telephone_number": "231-733-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MERCY DR",
            "address_2": "STE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441881",
            "telephone_number": "231-739-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANIFORTH",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "5315016730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4625118",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.