Individual provider Active NPI

Matthew Thomas Maraman

  • Family Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1962960518
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704289464 Issued in MI
Practice address
23572 Shepherd LN
Macomb, MI 48042-5517
Phone
(586) 216-1208
NPI assigned
Mar 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704289464 MI Primary

Addresses

Primary practice location

23572 Shepherd LN
Macomb, MI 48042-5517

Mailing address

23572 Shepherd LN
Macomb, MI 48042-5517

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000506 MI Practitioner - Nurse Practitioner 2961822432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

4160 John R St
Suite 925
Detroit, MI 48201-2017
Phone (313) 745-7247

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates PC CurrentSince Sep 1, 2020 Accepting new patients
University Neurosurgical Associates, PC CurrentSince Sep 1, 2020 Accepting new patients
VHS Physicians of Michigan CurrentSince May 16, 2022 Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4160 John R St
Ste 925
Detroit, MI 48201
Phone (313) 745-7247

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

Interoperability endpoints

  • Direct secure messaging: matthew.maraman.1@9704.direct.athenahealth.com

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1962960518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23572 SHEPHERD LN",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480425517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23572 SHEPHERD LN",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480425517",
            "telephone_number": "586-216-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAMAN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-03",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704289464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.