DR. JOSEPH MARDELLI M.D.
NPI 1376543538
Internal Medicine - Pulmonary Disease in Shelby Township, MI

Q: What is Joseph Mardelli's NPI number?

The NPI number for Joseph Mardelli is 1376543538. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Joseph Mardelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Mardelli was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment

50505 SCHOENHERR RD STE 290, SHELBY TOWNSHIP, MI 48315(586) 314-0080(877) 673-3562 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, Jul 10, 2023, Jul 29, 2022 (3 updates tracked since 2022).

On this page

About Dr. Joseph Mardelli M.d. NPPES

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

DR. JOSEPH MARDELLI M.D. (NPI 1376543538) is an individual pulmonary disease provider in Shelby Township, Michigan, licensed in Michigan (4301077971) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Roseville.

NPPES Registry Identity

NPI1376543538

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. JOSEPH MARDELLICredential: M.D.

Location Address50505 SCHOENHERR RD STE 290Shelby Township, MI 48315-3141

Mailing Address50505 Schoenherr Rd, Suite 290Shelby Township, MI 48315-3140 · (586) 314-0080 · Fax (877) 673-3562

Phone(586) 314-0080

Fax(877) 673-3562

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateJuly 28, 2005

Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration

NPPES CertifiedMarch 11, 2025

✔ NPI 1376543538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in MI · 4301077971✔ Licensed in MI · JM077971

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License JM077971 (MI)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 43010077971 (MI)

50505 SCHOENHERR RD STE 290, Shelby Township, MI 48315

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Secondary Practice Location 1

Location 125689 Kelly Rd, Suite 100Roseville, MI 48066-4993 · Phone (586) 445-5995 · Fax (877) 673-3562

Other Identifiers 4

Other0E00425MI · Blue Cross Blue Shield Of Mi

Other290F349720MI · Blue Cross

Other1598700932MI · Group Npi

Medicaid4399895MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Mardelli M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486641859

PECOS Enrollment IDI20040615001408

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.

Medicare Billing Reassignments

Medicare enrollment records show Joseph Mardelli reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary & Critical Care Associates PC

Same address

Pulmonary Disease

50505 SCHOENHERR RD, SUITE 290
Shelby Twp, MI 48315

Reassigned Medicare billing, Michigan enrollment
22 clinicians in this Medicare group

NPI 1598700932 (586) 314-0080

William Beaumont Hospital

13 mi

General Acute Care Hospital

4949 COOLIDGE HWY
Royal Oak, MI 48073

Reassigned Medicare billing, Michigan enrollment
154 clinicians in this Medicare group

NPI 1083833875 (248) 655-5900

Beaumont Medical Group- Specialty Services

15 mi

Surgery

3601 W 13 MILE RD
Royal Oak, MI 48073

Reassigned Medicare billing, Michigan enrollment
1,030 clinicians in this Medicare group

NPI 1578072906 (248) 898-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

228 services180 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

185 services168 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

157 services95 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

102 services102 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

70 services66 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

37 services27 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

33 services31 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

27 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services22 patients

Sleep study in sleep lab (6 years or older) 95810

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

18 services18 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

18 services18 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

18 services18 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

18 services18 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230047

Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County

Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230227

Location1000 Harrington StMount Clemens, MI 48043 · Macomb County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

45%799 patients3/55-star benchmark: 90%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604