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MARC VANDER VLIET M.D.
NPI 1790171304
Internal Medicine - Hospice and Palliative Medicine in Southfield, MI

Active since April 09, 2015PECOS Enrolled
26677 W 12 MILE RD STE 166, SOUTHFIELD, MI 48034(313) 306-2023 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, May 20, 2019 (2 updates tracked since 2019).

About Marc Vander Vliet M.d. NPPES

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

MARC VANDER VLIET M.D. (NPI 1790171304) is an individual hospice and palliative medicine provider in Southfield, Michigan, licensed in Michigan (4301500291) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1790171304
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameMARC VANDER VLIETCredential: M.D.
Location Address26677 W 12 MILE RD STE 166Southfield, MI 48034-1514
Mailing Address2799 W Grand Blvd, Clara Ford Pavilion--4th FloorDetroit, MI 48202 · (313) 916-4098 · Fax (313) 916-1925
Phone(313) 306-2023
Sole ProprietorNo
Enumeration DateApril 9, 2015
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1790171304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in MI · 4301500291
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
26677 W 12 MILE RD STE 166, Southfield, MI 48034
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Secondary Practice Location 1

Location 12799 W. Grand Blvd, Clara Ford Pavilion--4th FloorDetroit, MI 48202 · Phone (313) 916-4098 · Fax (313) 916-1925

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc Vander Vliet M.d. 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 12

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

JENNY SCROGGIE MSN, APRN, AGPCNP-BC
Nurse Practitioner
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Oakland County (313) 306-2023
LOVELYN C OGBENNAH
Nurse Practitioner (Family)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Oakland County (313) 306-2023
AUDREY LOUISE ANDERSON MSN RN FNP-BC
Nurse Practitioner (Family)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Oakland County (313) 306-2023
DR. ANDREW DYGERT D.O.
Emergency Medicine
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Oakland County (313) 306-2023
KENDRA TEMPLEMAN RN
Nurse Practitioner (Family)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Oakland County (313) 306-2023
LIVIU ONIGA
Nurse Practitioner (Acute Care)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Oakland County (313) 306-2023
AMBER LYNN PERRY NP
Nurse Practitioner (Family)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Oakland County (313) 306-2023
MEGAN ANN SCHRADER D.O.
Emergency Medicine
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Oakland County (313) 306-2023

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 Marc Vander Vliet's NPI number?

The NPI number for Marc Vander Vliet is 1790171304. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Marc Vander Vliet located?

Marc Vander Vliet practices at 26677 W 12 Mile Rd Ste 166, Southfield, MI 48034. The listed phone number is (313) 306-2023.

What is Marc Vander Vliet's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Marc Vander Vliet enrolled in Medicare?

Yes. Marc Vander Vliet is registered in the Medicare PECOS enrollment system.

What insurance does Marc Vander Vliet accept?

Health plans from McLaren Health Plan Community list Marc Vander Vliet 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 Marc Vander Vliet was last updated on September 29, 2022. 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.