Individual provider Active NPI

John-Phillip Thomas Markovic, MD

  • Internal Medicine Physician
  • Niles, MI
National Provider Identifier
1770903189
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301506700 Issued in MI
Practice address
31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone
(269) 684-6777
NPI assigned
Apr 24, 2014
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35131303 OH
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 4301506700 MI Primary

Addresses

Primary practice location

31 N Saint Joseph Ave
Niles, MI 49120-2207

Mailing address

3170 Kettering Blvd BLDG B2ND
Moraine, OH 45439-1924
Phone (937) 991-3191

Other practice location 1

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 384-6800

Other practice location 2

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 384-6800

Other practice location 3

3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 440-4466

Other practice location 4

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 705-4754

Other identifiers 1

IdentifierTypeStateIssuer
0220624MedicaidOH

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
I20220609000436 MI Practitioner - Cardiovascular Disease (Cardiology) 2163649880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Loma Linda University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

61 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 428-2795

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35131303OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Jun 1, 2022 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Jun 1, 2022 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Jun 1, 2022 Accepting new patients
Lakeland Community Hospital Watervliet Current Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Lakeland Community Hospital Watervliet Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Pathology Assoc of Southwestern Michigan, PC Current Accepting new patients

Locations

6559 Paw Paw Ave
Coloma, MI 49038
Phone (269) 408-1660

7040 Red Arrow Hwy
Coloma, MI 49038
Phone (269) 468-4318

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

61 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 684-6777

3950 Hollywood Rd
Ste 110
Saint Joseph, MI 49085
Phone (269) 985-1000

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111

Interoperability endpoints

  • Direct secure messaging: jmarkovic1270679@epic00.corewelldirect.org
  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Organizations & group practices 8

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 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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1770903189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B2ND",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3191",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 N SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202207",
            "telephone_number": "269-684-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-384-6800",
            "fax_number": "937-384-6938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-384-6800",
            "fax_number": "937-384-6938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-440-4466",
            "fax_number": "937-440-4470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "45005",
            "country_code": "US",
            "telephone_number": "513-705-4754",
            "fax_number": "513-420-5156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKOVIC",
        "first_name": "JOHN-PHILLIP",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35131303",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301506700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220624",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

Verify at the official NPI Registry.