Individual provider Active NPI

Marcel Jamil Mio, DO

  • Internal Medicine Physician
  • Brighton, MI
National Provider Identifier
1811684285
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101029020 Issued in MI
Practice address
10415 Grand River Rd Ste 100
Brighton, MI 48116-6533
Phone
(810) 227-1020
Fax
(810) 227-4930
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101029020 MI Primary

Addresses

Primary practice location

10415 Grand River Rd Ste 100
Brighton, MI 48116-6533

Mailing address

10415 Grand River Rd Ste 100
Brighton, MI 48116-6533
Phone (810) 227-1020

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
I20230526002458 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2163889692

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10415 Grand River Rd
Suite 100
Brighton, MI 48116-6533

30000 Northwestern Hwy
Farmington Hills, MI 48334

5800 Whethersfield LN
Apt 9F
Bloomfield Hills, MI 48301-1830

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1811684285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 GRAND RIVER RD STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166533",
            "telephone_number": "810-227-1020",
            "fax_number": "810-227-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 GRAND RIVER RD STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166533",
            "telephone_number": "810-227-1020",
            "fax_number": "810-227-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIO",
        "first_name": "MARCEL",
        "middle_name": "JAMIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101029020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.