Active NPI
Mark A Herman, MD
- Surgery Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301063793
- Practice address
- 1701 South Blvd E
Ste 270
Rochester Hills, MI 48307-6122 - Phone
- (248) 853-3100
- Fax
- (248) 853-4300
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301063793 | MI | Primary |
Addresses
Primary practice location
1701 South Blvd E
Ste 270
Rochester Hills, MI 48307-6122
Mailing address
1701 South Blvd E
Ste 270
Rochester Hills, MI 48307-6122
Phone (248) 853-3100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Blvd E
Suite 270
Rochester Hills, MI 48307-6116
Phone (248) 853-3100
Hospital & facility affiliations
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 13 |
| Removal of tissue | 58 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301063793 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Surgical Specialists, PC | Surgery | Current | Accepting new patients |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
1701 South Blvd E
Ste 270
Rochester Hills, MI 48307
Phone (248) 853-2223
3601 W 13 Mile Rd
Royal Oak, MI 48073
44201 Dequindre Rd
Ste 315
Troy, MI 48085
Phone (844) 259-7340
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- mherman831247@direct.trinity-health.org
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.
-
- Surgery Physician
- Rochester Hills, MI
- NPI 1962455857
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1902883366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "STE 270",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076122",
"telephone_number": "248-853-3100",
"fax_number": "248-853-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "STE 270",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076122",
"telephone_number": "248-853-3100",
"fax_number": "248-853-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2011-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301063793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.