NPIMap

Individual provider Active NPI

Mark P. Karchon, D.O.

  • Family Medicine Physician
  • Commerce Township, MI
National Provider Identifier
1699861088
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MK008912 Issued in MI
Practice address
2455 Union Lake Rd
Suite 101
Commerce Township, MI 48382-3554
Phone
(248) 360-6000
Fax
(248) 360-6040
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MK008912 MI Primary

Addresses

Primary practice location

2455 Union Lake Rd
Suite 101
Commerce Township, MI 48382-3554

Mailing address

PO Box 674852
Detroit, MI 48267-4852
Phone (248) 360-6000

Other identifiers 3

IdentifierTypeStateIssuer
0156336445OtherMIBCBS
113028319MedicaidMI
P00095533OtherRAILROAD MEDICARE

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
I20090615000345 MI Practitioner - Family Practice 7315912417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

2630 Union Lake Rd
Commerce Township, MI 48382-3582
Phone (248) 360-6000

Hospital & facility affiliations

  • Henry Ford Home Health Care Home health agency, Detroit, MI, CCN 237087
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MK008912MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Physician Partners CurrentSince Feb 1, 2023 Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Current Accepting new patients
Henry Ford Physician Partners Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Alliance Health Professionals, PLLC Current Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients
DMC Primary Care Services II Past Accepting new patients
Henry Ford West Bloomfield Physicans Family Medicine Past Accepting new patients

Locations

2455 Union Lake Rd
Ste 102
Commerce Township, MI 48382
Phone (248) 363-2239

2630 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 360-6000

2455 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 242-6025

2455 Union Lake Rd
Ste 101
Commerce Twp, MI 48382
Phone (248) 360-6000

2630 Union Lake Rd
Ste 220
Commerce Twp, MI 48382
Phone (248) 360-6000

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

Interoperability endpoints

  • Direct secure messaging: mkarchon305900@direct.hfhs.org

Organizations & group practices 8

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 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1699861088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674852",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674852",
            "telephone_number": "248-360-6000",
            "fax_number": "248-360-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 UNION LAKE RD",
            "address_2": "SUITE 101",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823554",
            "telephone_number": "248-360-6000",
            "fax_number": "248-360-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARCHON",
        "first_name": "MARK",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MK008912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0156336445",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113028319",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00095533",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.