Mark Douglas Ensberg, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

4301048610 Issued in MI

Practice address

5091 Willoughby Rd
Holt, MI 48842-1054

Phone

(517) 694-2144

Fax

(517) 694-6570

NPI assigned

Jul 3, 2006

Last updated

Jun 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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 MedicineAlso: Geriatric Medicine

Education

Sanford School of Medicine of University of South Dakota, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heart to Heart Hospice of Lansing, LLC Hospice, East Lansing, MI, CCN 231662
• Sparrow Hospice Services Hospice, Lansing, MI, CCN 231519
• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
• Burcham Hills Retirement Center Nursing home, East Lansing, MI, CCN 235236

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mensberg1554@sparrowdirecthie.org

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Burcham Hills Retirement Center II

  dba Burcham Hills Retirement Community

  • Skilled Nursing Facility
  • East Lansing, MI
  • NPI 1659344844

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Sparrow Community Care

  dba Home Health Care of Sparrow, Inc

  • Home Health Agency
  • Lansing, MI
  • NPI 1972536290

  Corporate Director

  CMS ownership

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.

• Msu Health Care Inc

  • Allergy & Immunology Physician
  • East Lansing, MI
  • NPI 1700418670
  Medicare reassignment Care Compare group NPD
• Michigan State University

  • Family Medicine Physician
  • East Lansing, MI
  • NPI 1861443269
  Medicare reassignment NPD
• Michigan State University

  dba Michigan State University Extension

  • Local Education Agency (LEA)
  • East Lansing, MI
  • NPI 1184182982
  NPD
• Michigan State University

  • Pediatric Hematology & Oncology Physician
  • Lansing, MI
  • NPI 1205880333
  NPD
• Msu Health Care Inc.

  • Physical Therapist
  • East Lansing, MI
  • NPI 1689206419
  NPD
• Burcham Hills Retirement Center II

  dba Burcham Hills Retirement Community

  • Skilled Nursing Facility
  • East Lansing, MI
  • NPI 1659344844
  NPD (past)
• Holt Senior Care and Rehab Center, LLC

  • Skilled Nursing Facility
  • Holt, MI
  • NPI 1316190515
  NPD (past)
• Msu Health Care Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Holt, MI
  • NPI 1245865328
  NPD (past)
• Msu Health Care Inc.

  • Diagnostic Radiology Physician
  • East Lansing, MI
  • NPI 1275165052
  NPD (past)
• Sparrow Community Care

  dba Sparrow Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Carson City, MI
  • NPI 1851280986
  NPD (past)

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

• Burcham Hills Retirement Center II

  dba Burcham Hills Retirement Community

  • Skilled Nursing Facility
  • East Lansing, MI
  • NPI 1659344844

  Nursing home

  Care Compare affiliation
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  dba Thoracic Cardiovascular Institute

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation
• Edward W. Sparrow Hospital Association

  dba Sparrow Hospice Services

  • Inpatient Hospice
  • Lansing, MI
  • NPI 1619089539
  Care Compare affiliation
• Heart to Heart Hospice of Lansing, LLC

  • Community Based Hospice Care Agency
  • East Lansing, MI
  • NPI 1770973463
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1912936527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 WILLOUGHBY RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421054",
            "telephone_number": "517-694-2144",
            "fax_number": "517-694-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSBERG",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301048610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2655771",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hussein El-Sibai
• Elevate Pediatric Therapy
• Elevate Physical Therapy LLC
• Andrew Elliott, PARAMEDIC
• Daniel P Elzinga, LLPC
• Jennah Eseka, FNP-C
• Elise Evans, OTRL
• Elena Fajardo
• Family and Lifestyle Medicine (Lansing Family and Lifestyle Medicine)
• Dana Farr, LPC

• Geriatric Medicine (Internal Medicine) Physician in Holt, MI
• Providers in Holt, MI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.