Active NPI
Michael L Mawby, M.D.
- Rheumatology Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 4301051186
- Practice address
- 1115 S Union St
Traverse City, MI 49684-3258 - Phone
- (231) 935-0550
- Fax
- (231) 935-0551
- NPI assigned
- Jun 22, 2005
- Last updated
- Mar 4, 2014
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 4301051186 | MI | Primary |
Addresses
Primary practice location
1115 S Union St
Traverse City, MI 49684-3258
Mailing address
PO Box 728
Traverse City, MI 49685-0728
Phone (231) 935-0550
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4324974 | Medicaid | MI | |
| 1102802841 | Other | MI | BC/BS OF MI |
| 131101 | Other | MI | UNITED HEALTH CARE |
| 660003547 | Other | MI | TRICARE/CHAMPUS |
| F60038 | Other | MI | PRIORITY |
| 1102802841 | Other | MI | BLUE CARE NETWORK |
| 1720084114 | Other | MI | MICHAEL L MAWBY MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Wayne State University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3230 Eagle Park Dr NE
Suite 101
Grand Rapids, MI 49525-7047
Phone (616) 954-0600
418 Munson Ave
Traverse City, MI 49686-3042
Phone (614) 954-0600
Hospital & facility affiliations
- Munson Medical Center
- Munson Healthcare Cadillac Hospital
- Mymichigan Medical Center Alpena
- Munson Healthcare Manistee Hospital
- Paul Oliver Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.21 of 100
- Quality
- 88.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301051186 | MI | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Consultants Inc | Current | Accepting new patients | |
| Infusion Associates of Ohio LLC | Current | Accepting new patients | |
| Infusion Associates PLLC | Current | Accepting new patients | |
| Hospitalists of West Michigan PC | Current | Accepting new patients | |
| Little People Urgent Care PLC | Past | Accepting new patients |
Locations
250 W Eisenhower Pkwy
Ste 130
Ann Arbor, MI 48103
44720 Hayes Rd
Ste 200
Clinton Township, MI 48038
830 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 333-3777
830 W Lake Lansing Rd
Ste 150
East Lansing, MI 48823
Phone (517) 897-9200
1600 S Beacon Blvd
Grand Haven, MI 49417
Phone (614) 954-0600
1600 S Beacon Blvd
Ste 100
Grand Haven, MI 49417
Phone (614) 954-0600
3230 Eagle Park Dr NE
Ste 101
Grand Rapids, MI 49525
3310 Eagle Park Dr NE
Ste 200
Grand Rapids, MI 49525
4343 Chicago Dr SW
Grandville, MI 49418
39475 Lewis Dr
Ste 140
Novi, MI 48377
Phone (248) 489-0766
1399 W Centre Ave
Portage, MI 49024
Phone (269) 615-1657
1115 S Union St
Traverse City, MI 49684
Phone (231) 935-0550
363 W Big Beaver Rd
Ste 125
Troy, MI 48084
363 W Big Beaver Rd
Ste 126
Troy, MI 48084
Phone (248) 220-5230
155 Lincoln Way W
Ste A109
Massillon, OH 44647
Phone (216) 488-1060
50 Normandy Dr
Ste 1
Painesville, OH 44077
2000 Regency Ct
Ste 100A
Toledo, OH 43623
Phone (833) 394-0600
2211 Crocker Rd
Ste 170
Westlake, OH 44145
Phone (216) 360-9480
Interoperability endpoints
- michael.mawby@direct.aoc.nextgenshare.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1487622296
-
- Infusion Therapy Clinic/Center
- Beachwood, OH
- NPI 1124058920
-
- Infusion Therapy Clinic/Center
- Toledo, OH
- NPI 1144966466
-
dba Arthritis & Osteoporosis Center
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Traverse City, MI
- NPI 1245283365
-
dba Infusion Associates
- Infusion Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1942334636
-
- Urgent Care Clinic/Center
- Troy, MI
- NPI 1952761033
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1720084114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 728",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496850728",
"telephone_number": "231-935-0550",
"fax_number": "231-935-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S UNION ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496843258",
"telephone_number": "231-935-0550",
"fax_number": "231-935-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAWBY",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301051186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4324974",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MI",
"identifier": "1102802841",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "131101",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "660003547",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY",
"identifier": "F60038",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "1102802841",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHAEL L MAWBY MD",
"identifier": "1720084114",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.
- 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.