Individual provider Active NPI

Marko Anton Sabolich, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Doylestown, PA
National Provider Identifier
1750600755
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
250078 Issued in NY
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2625
Fax
(215) 345-2251
NPI assigned
May 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD446589 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301108988 MI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 250078 NY Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

2900 Thomas Ave S
Apt 2032
Minneapolis, MN 55416-4477
Phone (216) 570-2155

Other practice location 1

2900 Thomas Ave S
Apt 2032
Minneapolis, MN 55416-4477
Phone (216) 570-2155

Other practice location 2

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, AL, NY, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110928000846 TX Practitioner - Pathology 0345411070
I20181105001873 MI Practitioner - Pathology 0345411070 Reassigns benefits to 2 organizations
I20211102003355 AL Practitioner - Pathology 0345411070 Reassigns benefits to 1 organization
I20230920003026 NY Practitioner - Pathology 0345411070 Reassigns benefits to 1 organization
I20240911003907 PA Practitioner - PathologyPractitioner - Hematology 0345411070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Bend Medical Foundation IncGroup PAC ID 3971411349, 14 clinicians
Legacy Path LLCGroup PAC ID 5890237960, 16 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 266-7231

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108988MIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Aug 1, 2023 Accepting new patients
Via Affiliates CurrentSince Aug 1, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Via Affiliates Current Accepting new patients
Via Affiliates CurrentSince Aug 1, 2024 Accepting new patients
South Bend Medical Foundation, Inc Anatomic Pathology & Clinical Pathology CurrentSince Apr 24, 2025 Accepting new patients
Legacy Path LLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 25, 2025 Accepting new patients

Locations

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

7901 Broadway
#D127
Flushing, NY 11373

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

5700 Southwyck Blvd
Toledo, OH 43614

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

Organizations & group practices 9

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 2

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": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1750600755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 THOMAS AVE S",
            "address_2": "APT 2032",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164477",
            "telephone_number": "216-570-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2625",
            "fax_number": "215-345-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Thomas Ave S",
            "address_2": "APT 2032",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554164477",
            "country_code": "US",
            "telephone_number": "216-570-2155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 Gull Rd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490481640",
            "country_code": "US",
            "telephone_number": "269-226-7231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABOLICH",
        "first_name": "MARKO",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-31",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD446589",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301108988",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "250078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.