NPIMap

Individual provider Active NPI

Matthew Heront Marcarian, MD

  • Internal Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1891773677
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
072206 Issued in MI
Practice address
8550 N Silvery LN
Suite B200
Dearborn Heights, MI 48127-4510
Phone
(313) 563-2288
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 072206 MI Primary
Internal Medicine Physician 207R00000X 23795 AZ

Addresses

Primary practice location

8550 N Silvery LN
Suite B200
Dearborn Heights, MI 48127-4510

Mailing address

8550 N Silvery LN
Suite B200
Dearborn Heights, MI 48127-4510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000549 MI Practitioner - Internal Medicine 1658569462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tenny Internal Medicine PLLCGroup PAC ID 5991127896, 6 clinicians
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

22361 W Village Dr
Dearborn, MI 48124-2227
Phone (313) 563-2288

23852 Michigan Ave
Dearborn, MI 48124-1829

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23795AZMDInternal Medicine Physician
072206MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenny Internal Medicine PLLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
James Bazzi MD PC Internal Medicine Past Accepting new patients

Locations

22361 W Village Dr
Ste 102
Dearborn, MI 48124
Phone (313) 563-2288

22361 W Village Dr
Dearborn, MI 48124
Phone (313) 350-5859

Interoperability endpoints

  • Direct secure messaging: matthew.marcarian.1@20892.direct.athenahealth.com
  • Direct secure messaging: mmarcarian840702@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/20892/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1891773677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 N SILVERY LN",
            "address_2": "SUITE B200",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 N SILVERY LN",
            "address_2": "SUITE B200",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274510",
            "telephone_number": "313-563-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCARIAN",
        "first_name": "MATTHEW",
        "middle_name": "HERONT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "072206",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.