DR. MARSHALL BARNETT SACK D.O. NPI 1629071170

NPI Information

  • NPI: 1629071170
  • Provider Name: DR. MARSHALL BARNETT SACK, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 39500 W 10 MILE RD
    STE. 100
    NOVI, MI
    ZIP 48375
  • Phone: (248) 476-0035

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NPI Details

DR. Marshall Barnett Sack, D.O. is a family medicine in Novi, MI with 48 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Marshall Barnett Sack, D.O. NPI is 1629071170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1978

The provider's business location address is:

39500 W 10 MILE RD
STE. 100
NOVI, MI
ZIP 48375-947
Phone: (248) 476-0035
Fax: (248) 476-2418

The NPI 1629071170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), 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)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Hemoglobin a1c level (HCPCS:83036)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)

The enumeration date for this NPI number is 5/28/2005 and was last updated on 4/26/2010.

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
1207Q00000XFamily Medicine5101007596MICHIGANYes

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
1A76040OTHERMICHIGANHAP
2M01150001MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
30156304195OTHERMICHIGANBCBSM
4MS007596OTHERBCBSM OTHER IDENTIFIER
5M01150001MEDICARE PINMICHIGAN
6DR630349OTHERMICHIGANMCARE
70800028260OTHERMICHIGANRAILROAD MEDICARE
8A76040MEDICARE UPIN
91411744MEDICAIDMICHIGAN

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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