DR. MARSHALL KEVIN MEDLEY D.O. NPI 1225138340

NPI Information

  • NPI: 1225138340
  • Provider Name: DR. MARSHALL KEVIN MEDLEY, D.O.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35600 CENTRAL CITY PKWY
    SUITE 101
    WESTLAND, MI
    ZIP 48185
  • Phone: (734) 421-1000

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NPI Details

DR. Marshall Kevin Medley, D.O. is a vascular surgery surgery in Westland, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Marshall Kevin Medley, D.O. NPI is 1225138340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35600 CENTRAL CITY PKWY
SUITE 101
WESTLAND, MI
ZIP 48185-046
Phone: (734) 421-1000
Fax: (734) 421-1001

The NPI 1225138340 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 9/25/2006 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery5101013769MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
117178OTHERMICHIGANMCARE
2000000012192OTHERMICHIGANCAPE HEALTH PLAN
35821256OTHERMICHIGANBLUE CROSS BLUE SHIELD
40007367710OTHERMICHIGANAETNA
5141412OTHERMICHIGANCARE CHOICES
6P36227-FOTHERMICHIGANBLUE CARE NETWORK
7U92085OTHERMICHIGANPRIVATE HEALTH CARE SYSTE
84774341MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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