NEIL SAMUEL UMLES MD
NPI 1811450844
Internal Medicine - Nephrology in Marquette, MI
About Neil Samuel Umles Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEIL SAMUEL UMLES MD (NPI 1811450844) is an individual nephrology provider in Marquette, Michigan, licensed in Michigan (4301510950) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted 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
Neil Samuel Umles Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Neil Umles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marquette, MI 49855
- Reassigned Medicare billing, Michigan enrollment
- 440 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Montana enrollment
- 325 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 1,270 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uphs Marquette Dlp Hospital
Acute Care Hospitals · Marquette, MIBell Hospital
Critical Access Hospitals · Ishpeming, MISt. Patrick Hospital
Acute Care Hospitals · Missoula, MTProvidence St Joseph Medical Center
Critical Access Hospitals · Polson, MTSwedish Medical Center
Acute Care Hospitals · Seattle, WAPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Neil Umles's NPI number?
The NPI number for Neil Umles is 1811450844. It was assigned to this individual provider in the NPPES registry on April 8, 2019.
Where is Neil Umles located?
Neil Umles practices at 1414 W Fair Ave Ste 344, Marquette, MI 49855. The listed phone number is (906) 449-1325.
What is Neil Umles's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Neil Umles enrolled in Medicare?
Yes. Neil Umles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Neil Umles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Neil Umles reassigns Medicare benefits to 3 organizations: Dlp Marquette Physician Practices Inc (Marquette, MI), Providence Health & Services Mt (Great Falls, MT) and Swedish Health Services (Seattle, WA). Each 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 Neil Umles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Neil Umles accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Providence Health Plan list Neil Umles 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.
Is Neil Umles affiliated with any hospitals?
According to CMS data, Neil Umles is affiliated with Uphs Marquette Dlp Hospital, Bell Hospital, St. Patrick Hospital, Providence St Joseph Medical Center and Swedish Medical Center.
When was this NPI record last updated?
The NPPES record for Neil Umles was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.