Individual provider Active NPI

James Martin Fox, M.D.

  • Cardiovascular Disease Physician
  • Traverse City, MI
National Provider Identifier
1740275379
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301080842 Issued in MI
Practice address
1200 Sixth St
Suite 200
Traverse City, MI 49684-2369
Phone
(231) 935-5800
Fax
(231) 935-5799
NPI assigned
Sep 20, 2005
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301080842 MI Primary

Addresses

Primary practice location

1200 Sixth St
Suite 200
Traverse City, MI 49684-2369

Mailing address

2891 Momentum PL
Chicago, IL 60689-5328
Phone (231) 935-6080

Other practice location 1

234 Lake St
Roscommon, MI 48653-9203
Phone (989) 275-1200

Other practice location 2

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900

Other practice location 3

1250 E Michigan Ave
Grayling, MI 49738-7074
Phone (989) 348-0550

Other practice location 4

1100 E Michigan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

Other identifiers 1

IdentifierTypeStateIssuer
4425725MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfox01@direct.mhc.net

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
I20040510000215 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9931198520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Pittsburgh School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-7514

1200 6TH St
Suite 200
Traverse City, MI 49684-2369
Phone (231) 935-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080842MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Medical Center Family Medicine CurrentSince Sep 25, 2002 Accepting new patients
Munson Healthcare Charlevoix Hospital Family Medicine Current Accepting new patients
Munson Medical Group CurrentSince Jan 1, 2011 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jan 16, 2013 Accepting new patients
Munson Medical Group Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Munson Medical Center CurrentSince Sep 25, 2002 Accepting new patients
Munson Healthcare Charlevoix Hospital Family Medicine CurrentSince Jan 16, 2013 Accepting new patients
Paul Oliver Memorial Hospital Family Medicine Past Accepting new patients
Grand Traverse Heart Institute Past Accepting new patients
Munson Medical Center Family Medicine Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

2891 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

704 Oak St
Ste 200
Cadillac, MI 49601
Phone (231) 876-6753

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

1200 Sixth St
Ste 200
Traverse City, MI 49684

1221 Sixth St
Ste 206
Traverse City, MI 49684
Phone (231) 935-5085

Interoperability endpoints

  • Direct secure messaging: jfox01@direct.mhc.net

Organizations & group practices 11

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.

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1740275379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895328",
            "telephone_number": "231-935-6080",
            "fax_number": "231-935-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SIXTH ST",
            "address_2": "SUITE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842369",
            "telephone_number": "231-935-5800",
            "fax_number": "231-935-5799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Lake St",
            "address_purpose": "LOCATION",
            "city": "Roscommon",
            "state": "MI",
            "postal_code": "486539203",
            "country_code": "US",
            "telephone_number": "989-275-1200",
            "fax_number": "989-275-1210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2585 W Houghton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prudenville",
            "state": "MI",
            "postal_code": "486519624",
            "country_code": "US",
            "telephone_number": "989-366-2900",
            "fax_number": "989-366-1166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "fax_number": "989-348-0473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381312",
            "country_code": "US",
            "telephone_number": "989-348-5461",
            "fax_number": "989-348-5724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "JAMES",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301080842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4425725",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfox01@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1200 Sixth St",
            "address_2": "Suite 200",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.