NEIL SAMUEL UMLES MD
NPI 1811450844
Internal Medicine - Nephrology in Marquette, MI

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
1414 W FAIR AVE STE 344, MARQUETTE, MI 49855(906) 449-1325 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Dec 9, 2025, May 2, 2024 and 2 more (5 updates tracked since 2019).

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

NPI1811450844
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNEIL SAMUEL UMLESCredential: MD
Location Address1414 W FAIR AVE STE 344Marquette, MI 49855-5407
Mailing Address45640 Schoenherr Rd Ste BShelby Township, MI 48315-6033 · (586) 247-4300 · Fax (586) 532-6496
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2019
Last NPPES UpdateApril 28, 20265 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1811450844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in MI · 4301510950✔ Licensed in MT · MED-PHYS-LIC-161462
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1414 W FAIR AVE STE 344, Marquette, MI 49855

Secondary Practice Locations 3

Location 13055 N Reserve St Ste DMissoula, MT 59808-1395 · Phone (406) 327-7000
Location 222201 Moross Rd Ste 50Detroit, MI 48236-2166 · Phone (313) 343-7774 · Fax (313) 343-8747
Location 3515 W Jefferson StPetoskey, MI 49770-2223 · Phone (231) 994-0281 · Fax (989) 884-0272

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.

PECOS PAC ID9638403785
PECOS Enrollment IDI20240316000148, I20251126004157, I20251204003192
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

3

Medicare 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.

Gynecology
1414 W FAIR AVE, STE 24
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 440 clinicians in this Medicare group
Cardiovascular Disease
1417 9TH ST S, SUITE 203
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 325 clinicians in this Medicare group
Internal Medicine
800 5TH AVE, STE 600
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.

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.
207 services48 patients
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.
85 services78 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services41 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.
30 services11 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.
16 services16 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.
16 services16 patients

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, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Bell Hospital

Critical Access Hospitals · Ishpeming, MI
OwnershipProprietary
CMS Certification Number231321
Location901 Lakeshore DriveIshpeming, MI 49849 · Marquette County
Emergency services Birthing friendly

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

Providence St Joseph Medical Center

Critical Access Hospitals · Polson, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271343
Location6 13th Ave EPolson, MT 59860 · Lake County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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

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

Nurse Practitioner (Family)
1414 W FAIR AVE STE 344
MARQUETTE, MI 49855

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.