Individual provider Active NPI

Marian Mocanu, M.D.

  • Interventional Cardiology Physician
  • Commerce TWP, MI
National Provider Identifier
1770768038
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301100240 Issued in MI
Practice address
1 William Carls Dr Ste 100
Commerce TWP, MI 48382-2201
Phone
(248) 937-4764
Fax
(248) 937-4729
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 4301100240 MI Primary

Addresses

Primary practice location

1 William Carls Dr Ste 100
Commerce TWP, MI 48382-2201

Mailing address

1 William Carls Dr Ste 100
Commerce TWP, MI 48382-2201
Phone (248) 937-4764

Other practice location 1

311 Mack Ave Ste 64100
Detroit, MI 48201-2466
Phone (313) 832-0650

Other practice location 2

3417 Miller Rd
Ann Arbor, MI 48103-2130
Phone (203) 803-6702

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
I20160719001465 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385784602 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

311 Mack Ave
Suite 64100
Detroit, MI 48201-2466
Phone (313) 832-0303

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Mar 13, 2019 Accepting new patients
Premier Cardiovascular Consultants PC CurrentSince Dec 15, 2018 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Mar 13, 2019 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
VHS Physicians of Michigan CurrentSince Aug 19, 2020 Accepting new patients
JJS PLLC PastSince Jun 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC Cardiovascular Disease PastSince Aug 19, 2020 Accepting new patients
Fairfield County Medical Services Inc Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

1 William Carls Dr
Ste 100
Commerce Twp, MI 48382
Phone (248) 937-4764

1 William Carls Dr
Ste 230
Commerce Twp, MI 48382
Phone (248) 360-4507

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

311 Mack Ave
Ste 64100
Detroit, MI 48201
Phone (313) 832-0303

311 Mack Ave
#61100
Detroit, MI 48201
Phone (248) 480-0363

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1000 East Paris Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 685-3450

2632 S Rochester Rd
Unit 70306
Rochester Hills, MI 48307

1629 W Big Beaver Rd
Troy, MI 48084
Phone (248) 480-0363

6525 W Maple Rd
Ste 101E
West Bloomfield, MI 48322
Phone (248) 489-4410

Interoperability endpoints

  • Direct secure messaging: marian.mocanu.1@9704.direct.athenahealth.com
  • Direct secure messaging: mmocanu296869@direct.hfhs.org
  • Direct secure messaging: mmocanu@direct.dmc.org

Organizations & group practices 10

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 4

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1770768038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLIAM CARLS DR STE 100",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483822201",
            "telephone_number": "248-937-4764",
            "fax_number": "248-937-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLIAM CARLS DR STE 100",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483822201",
            "telephone_number": "248-937-4764",
            "fax_number": "248-937-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Mack Ave Ste 64100",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012466",
            "country_code": "US",
            "telephone_number": "313-832-0650",
            "fax_number": "313-993-0447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3417 Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481032130",
            "country_code": "US",
            "telephone_number": "203-803-6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCANU",
        "first_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301100240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce TWP, MI

Sources for this page

Verify at the official NPI Registry.