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MARK MISHACK MD
NPI 1831191485
Internal Medicine - Nephrology in Clinton Township, MI

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
15945 19 MILE RD, STE 104, CLINTON TOWNSHIP, MI 48038(586) 228-6603(586) 228-6613 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mark Mishack Md NPPES

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

MARK MISHACK MD (NPI 1831191485) is an individual nephrology provider in Clinton Township, Michigan, licensed in Michigan (MM062491) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1831191485
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMARK MISHACKCredential: MD
Location Address15945 19 MILE RD, STE 104Clinton Township, MI 48038-1147
Mailing Address15945 19 Mile Rd, Ste 104Clinton Township, MI 48038-1147 · (586) 228-6603 · Fax (586) 228-6613
Phone(586) 228-6603
Fax(586) 228-6613
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 12, 2005
Last NPPES UpdateSeptember 8, 2009
✔ NPI 1831191485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · MM062491
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.
15945 19 MILE RD, Clinton Township, MI 48038
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING94558

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Mishack 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 ID3779631080
PECOS Enrollment IDI20090424000338
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.

Areas of Expertise CMS Part B claims 4

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.
415 services81 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.
229 services119 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.
75 services64 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.
28 services28 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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland 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 48038 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.

Other Providers at the Same Location NPPES 16

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

NEUROLOGICAL INSTITUTE OF MICHIGAN PC
Psychiatry & Neurology (Neurology)
15945 19 MILE RD, SUITE 106
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-0610
AFD MEDICAL PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
15945 19 MILE RD, SUITE 100
CLINTON TWP, MI 48038
Macomb County (586) 263-0464
ZEF LUCAJ MD PC
Specialist
15945 19 MILE RD, SUITE 106
CLINTON TWP, MI 48038
Macomb County (586) 263-0610
FERAS MOHDER M. D
Internal Medicine
15945 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 267-2468
DR. MOHAMMAD GHAFFARLOO M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15945 19 MILE RD, SUITE 100
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 286-8677
ELMOATAZ IBRAHIM M.D.
Psychiatry & Neurology (Neurology)
15945 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-0610
MOHAMMAD GHAFFARLOO M.D.P.C.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15945 19 MILE RD, SUITE 100
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 286-8677
PARAGON PHYSICAL THERAPY AND REHAB LLC
Clinic/Center (Physical Therapy)
15945 19 MILE RD, SUITE B21
CLINTON TWP, MI 48038
Macomb County (248) 970-1153

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 Mark Mishack's NPI number?

The NPI number for Mark Mishack is 1831191485. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Mark Mishack located?

Mark Mishack practices at 15945 19 Mile Rd Ste 104, Clinton Township, MI 48038. The listed phone number is (586) 228-6603.

What is Mark Mishack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mark Mishack enrolled in Medicare?

Yes. Mark Mishack 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.

What insurance does Mark Mishack accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mark Mishack 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 Mark Mishack affiliated with any hospitals?

According to CMS data, Mark Mishack is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Mark Mishack was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.