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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK LOUIS FUSILLO
NPI 1225831597
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 31, 2025PECOS Enrolled
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 615-4924 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Mar 31, 2025 (2 updates tracked since 2025).

About Mark Louis Fusillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK LOUIS FUSILLO (NPI 1225831597) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225831597
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARK LOUIS FUSILLO
Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000
Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000
Phone(734) 615-4924
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1225831597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Louis Fusillo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOKMAN SUNG MD
Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
SAMEER DEV SAINI M.D.
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLE DAVID PERRY MD
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
DR. DAVID ALEXANDER STEWART M.D.
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Washtenaw County (734) 763-5302
DR. MICHAEL EDMUND WATSON MD
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
CARRIE KRAEGER PORTER PA-C
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
DENISE LYNN BERRY CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KETTI SOPHIA PETERSEN MD
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Fusillo's NPI number?

The NPI number for Mark Fusillo is 1225831597. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Mark Fusillo located?

Mark Fusillo practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 615-4924.

What is Mark Fusillo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mark Fusillo enrolled in Medicare?

Yes. Mark Fusillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Fusillo was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.