NPIMap

Individual provider Active NPI

Mark Andrew Kwartowitz, DO

  • Orthopaedic Surgery Physician
  • West Bloomfield, MI
National Provider Identifier
1962448803
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101013112 Issued in MI
Practice address
2300 Haggerty Rd
Suite 1110
West Bloomfield, MI 48323-2184
Phone
(248) 669-2000
Fax
(248) 669-2110
NPI assigned
Jun 21, 2006
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101013112 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd
Suite 1110
West Bloomfield, MI 48323-2184

Mailing address

PO Box 74008434
Chicago, IL 60674-8434
Phone (248) 669-2000

Other identifiers 4

IdentifierTypeStateIssuer
203208200OtherMIDEPT. OF LABOR WORKERS COMP
H78204OtherMIHAP
0F33953OtherMIBCBS
0007061580OtherMIAETNA PIN

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
I20070813000645 MI Practitioner - Orthopedic SurgeryPractitioner - Osteopathic Manipulative Medicine 0244281673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald S Lederman MD PLLCGroup PAC ID 8224115563, 10 clinicians

Practice addresses (Care Compare)

2300 Haggerty Rd
Suite 1110
West Bloomfield, MI 48323-2185
Phone (248) 669-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.11 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement25
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013112MIMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: mkwartow@direct.dmc.org
  • Direct secure messaging: mkwartowitz1135518@direct.hfhs.org
  • Direct secure messaging: mkwartowitz@direct.lkorthopedics.com

Organizations & group practices 1

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1962448803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008434",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748434",
            "telephone_number": "248-669-2000",
            "fax_number": "248-669-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 1110",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-669-2000",
            "fax_number": "248-669-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWARTOWITZ",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101013112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR WORKERS COMP",
            "identifier": "203208200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "H78204",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F33953",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "0007061580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.