ST MARY MERCY HOSPITAL PROFESSIONAL
NPI 1447953971
Internal Medicine - Gastroenterology in Ypsilanti, MI

Active since March 23, 2023
5300 ELLIOTT DR, YPSILANTI, MI 48197(734) 431-6798 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2023, Mar 23, 2023 (2 updates tracked since 2023).

About St Mary Mercy Hospital Professional NPPES

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

ST MARY MERCY HOSPITAL PROFESSIONAL (NPI 1447953971) is a healthcare organization registered as a gastroenterology in Ypsilanti, Michigan and active in the NPI registry since March 2023. The organization lists Michael Paul Gusho, Regional Cfo, Trinity Health - Mich, as its authorized official.

NPPES Registry Identity

NPI1447953971
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameST MARY MERCY HOSPITAL PROFESSIONAL
Location Address5300 ELLIOTT DRYpsilanti, MI 48197-8632
Mailing Address5300 Elliott DrYpsilanti, MI 48197-8632 · (734) 431-6798 · Fax (734) 528-0819
Organization SubpartNo
Authorized OfficialMichael Paul GushoRegional Cfo, Trinity Health - Mich · (734) 398-0642
Enumeration DateMarch 23, 2023
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1447953971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5300 ELLIOTT DR, Ypsilanti, MI 48197

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Mary Mercy Hospital Professional is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20080502000426Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

124

Medicare enrollment records show 124 clinicians reassign Medicare billing to St Mary Mercy Hospital Professional, which bills Medicare for the services they deliver. Of these, 25 practice at this address and 54 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Internal Medicine30
Gastroenterology16
Nurse Practitioner14
Obstetrics/Gynecology14
Pulmonary Disease13
Clinical Social Worker9
Psychiatry8
Cardiovascular Disease (Cardiology)5
7 other specialties15

Nearest to this location (20)

See all 124
Internal Medicine
NPI 1265828115
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1407146517
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1417960634
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1437479383
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1538286687
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1801274758
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1992332316
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1679690549
5300 ELLIOTT DRIVE
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1205320629
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1154521177
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1780047597
5300 ELLIOT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1356637177
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1700314846
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1275689895
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1962722215
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1609859024
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1689654725
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1780604652
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1376961318
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1356320634
5300 ELLIOTT DR
Ypsilanti, MI 48197
(734) 434-6262
✔ PECOSSame address
See all 124 clinicians

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

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 St Mary Mercy Hospital Professional's NPI number?

The NPI number for St Mary Mercy Hospital Professional is 1447953971. It was assigned to this organization in the NPPES registry on March 23, 2023.

Where is St Mary Mercy Hospital Professional located?

St Mary Mercy Hospital Professional is located at 5300 Elliott Dr, Ypsilanti, MI 48197. The listed phone number is (734) 431-6798.

What is St Mary Mercy Hospital Professional's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is St Mary Mercy Hospital Professional enrolled in Medicare?

Yes. St Mary Mercy Hospital Professional is registered in the Medicare PECOS enrollment system.

When is St Mary Mercy Hospital Professional's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through St Mary Mercy Hospital Professional?

According to the CMS Revalidation Reassignment List (October 2026 release), 124 clinicians in 15 Medicare specialties reassign their Medicare billing to St Mary Mercy Hospital Professional. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (30), Gastroenterology (16) and Nurse Practitioner (14). Of these, 25 practice at this address and 54 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Mary Mercy Hospital Professional accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list St Mary Mercy Hospital Professional as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Mary Mercy Hospital Professional was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.