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GEORGE MICHAEL NIDIFFER MD
NPI 1336131556
Pediatrics in Marquette, MI

Active since August 16, 2005PECOS Enrolled
1414 W FAIR AVE, #226, MARQUETTE, MI 49855(906) 225-3925(906) 225-4838 Get Directions Write a Review

NPPES record last updated: June 10, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About George Michael Nidiffer Md NPPES

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

GEORGE MICHAEL NIDIFFER MD (NPI 1336131556) is an individual pediatrics provider in Marquette, Michigan, licensed in Michigan (4301030113) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336131556
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGEORGE MICHAEL NIDIFFERCredential: MD
Location Address1414 W FAIR AVE, #226Marquette, MI 49855-2675
Mailing Address26374 Network PlChicago, IL 60673-1263 · (906) 225-3630 · Fax (906) 225-4537
Phone(906) 225-3925
Fax(906) 225-4838
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateJune 10, 2013
✔ NPI 1336131556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301030113
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1414 W FAIR AVE, Marquette, MI 49855
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Other Identifiers 2

Medicare UPINA77491
Medicaid3108394MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George Michael Nidiffer Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. KIRK W MATTHEWS LMSW
Social Worker (Clinical)
1414 W FAIR AVE
MARQUETTE, MI 49855
Marquette County (906) 774-3300
MR. STEVEN M GUALDONI PAC
Physician Assistant
1414 W FAIR AVE, STE 332
MARQUETTE, MI 49855
Marquette County (906) 225-3922
PENINSULA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1414 W FAIR AVE, SUITE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902
BOBBY Z JOSEPH M.D.
Allergy & Immunology
1414 W FAIR AVE, SUITE 216
MARQUETTE, MI 49855
Marquette County (906) 225-4725
NATHAN SAMUEL TAYLOR MD
Plastic Surgery (Surgery of the Hand)
1414 W FAIR AVE, SUITE 190
MARQUETTE, MI 49855
Marquette County (906) 225-1321
DR. PUSHPAMAL NAYANANGA SAMARARATNE MD
Student in an Organized Health Care Education/Training Program
1414 W FAIR AVE, SUITE 24
MARQUETTE, MI 49855
Marquette County (906) 225-3864
RODNEY RIESLAND NP
Nurse Practitioner (Primary Care)
1414 W FAIR AVE, STE 344
MARQUETTE, MI 49855
Marquette County (906) 225-3910
MANSOUR MIKY M.D.
Physical Medicine & Rehabilitation
1414 W FAIR AVE, SUITE 204
MARQUETTE, MI 49855
Marquette County (906) 225-7740

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 George Nidiffer's NPI number?

The NPI number for George Nidiffer is 1336131556. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is George Nidiffer located?

George Nidiffer practices at 1414 W Fair Ave #226, Marquette, MI 49855. The listed phone number is (906) 225-3925.

What is George Nidiffer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is George Nidiffer enrolled in Medicare?

Yes. George Nidiffer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for George Nidiffer was last updated on June 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.