Individual provider Active NPI

Marcus D Tanghe, RDN

  • Registered Dietitian
  • Bay City, MI
National Provider Identifier
1669286712
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
68 State Park Dr
Bay City, MI 48706-2142
Phone
(989) 600-2740
NPI assigned
Feb 6, 2025
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X MI Primary

Addresses

Primary practice location

68 State Park Dr
Bay City, MI 48706-2142

Mailing address

68 State Park Dr
Bay City, MI 48706-2142
Phone (989) 600-2740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424001845 MI Practitioner - Registered Dietitian Or Nutrition Professional 0547786345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Central Michigan College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Obesity Medicine and Metabolic Wellness Clinic PLLCGroup PAC ID 6002295722, 6 clinicians

Practice addresses (Care Compare)

2851 N Cedaridge Dr
Midland, MI 48642-8861
Phone (989) 600-1841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Obesity Medicine & Metabolic Wellness Clinic PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

901 E Indian St
Midland, MI 48640
Phone (989) 832-8803

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1669286712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 STATE PARK DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062142",
            "telephone_number": "989-600-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 STATE PARK DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062142",
            "telephone_number": "989-600-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGHE",
        "first_name": "MARCUS",
        "middle_name": "D",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.