Marilena C Oravitan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301089425 Issued in MI

Practice address

1310 Wisconsin St
Suite 100
Grand Haven, MI 49417-2472

Phone

(616) 844-4701

Fax

(616) 847-1863

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Physician Network 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health at Home - Muskegon Home health agency, Muskegon, MI, CCN 237198
• Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066
• Trinity Health Grand Haven Hospital Hospital, Grand Haven, MI, CCN 230174

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
• Direct secure messaging: moravitan32593@direct.trinity-health.org

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.

• Mercy Physician Network

  • Family Medicine Physician
  • Muskegon, MI
  • NPI 1023056744

  Family Medicine, MI

  Medicare reassignment Care Compare group NPD
• Mercy Physician Network

  • Family Medicine Physician
  • Fruitport, MI
  • NPI 1639502701

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy General Health Partners Amicare Homecare

  • Home Health Agency
  • Muskegon, MI
  • NPI 1063483972
  Care Compare affiliation
• Mercy Health Partners

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133

  Hospital

  Care Compare affiliation
• Trinity Health Grand Haven Hospital

  • General Acute Care Hospital
  • Grand Haven, MI
  • NPI 1942379284

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1891752168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WISCONSIN ST STE 101",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172472",
            "telephone_number": "616-296-1600",
            "fax_number": "616-296-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WISCONSIN ST",
            "address_2": "SUITE 100",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172472",
            "telephone_number": "616-844-4701",
            "fax_number": "616-847-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORAVITAN",
        "first_name": "MARILENA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ZZ",
            "license": "116",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301089425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moravitan32593@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "MHPP North Ottawa Internal Medicine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "1310 Wisconsin St",
            "address_2": "Suite 100",
            "city": "Grand Haven",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494172472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bridget Nucum
• Kendra Bedient Nyhof, NP
• Hannah H O'Brien, PA-C
• Michael A Okkerse, CRNA
• Jaclyn Oldenburg, MS, OT
• Orthopaedic Associates of Muskegon, PC
• Orthopaedic Associates of Muskegon, PC
• Joseph Daniel Ortiz, MD
• Stephanie Osborn, DPT
• Julia Osterman, LLMSW

• All providers in Grand Haven, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.