Individual provider Active NPI

Marc J Siegel, M.D.

  • Ophthalmology Physician
  • Southfield, MI
National Provider Identifier
1740265461
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301053873 Issued in MI
Practice address
29201 Telegraph Rd
Suite 301
Southfield, MI 48034-1331
Phone
(248) 356-0098
Fax
(248) 356-0424
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 4301053873 MI
Ophthalmology Physician 207W00000X 4301053873 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd
Suite 301
Southfield, MI 48034-1331

Mailing address

29201 Telegraph Rd
Suite 301
Southfield, MI 48034-1331
Phone (248) 356-0098

Other identifiers 1

IdentifierTypeStateIssuer
2716035MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MSiegel@glaucomacenter.updoxdirect.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060626000117 MI Practitioner - Ophthalmology 8527070150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grosinger Spigelman and Grey Eye Surgeons PCGroup PAC ID 4385672880, 6 clinicians

Practice addresses (Care Compare)

1750 S Telegraph Rd
Suite 205
Bloomfield Hills, MI 48302-0178
Phone (248) 333-2900

Merit-based Incentive Payment System (MIPS)

Final score
91.46 of 100Reported as group
Quality
99.22
Promoting interoperability
93
Improvement activities
40
Cost
78.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery206

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grosinger Spigelman & Grey Eye Surgeons PC Ophthalmology CurrentSince Jan 1, 2023 Accepting new patients
Mei Operations, PLLC Ophthalmology PastSince Jan 1, 2023 Accepting new patients
Consultants in Ophthalmic & Facial Plastic Surgery Ophthalmology PastSince Jun 13, 2006 Accepting new patients

Locations

1750 S Telegraph Rd
Ste 205
Bloomfld Hls, MI 48302
Phone (248) 333-2900

3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020

Interoperability endpoints

  • Direct secure messaging: msiegel@gsg.intellechartdirect.net
  • Direct secure messaging: msiegel@glaucomacenter.updoxdirect.com
  • Direct secure messaging: msiegel1151318@direct.hfhs.org
  • Direct secure messaging: marcsiegel@glaucomacenter.intellechartdirect.net

Organizations & group practices 3

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1740265461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-356-0098",
            "fax_number": "248-356-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-356-0098",
            "fax_number": "248-356-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MARC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MI",
            "license": "4301053873",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301053873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2716035",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MSiegel@glaucomacenter.updoxdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29201 Telegraph Rd",
            "address_2": "SUITE 301",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480341331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.