DR. MARK JAY MCGILLEM (M.D.) – Internal Medicine Physician, NPI 1700877339

DR. MARK JAY MCGILLEM (M.D.) is a healthcare provider. based in Mishawaka, Indiana. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 01051194A (IN). The NPI Number for DR. MARK JAY MCGILLEM (M.D.) is 1700877339

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK JAY MCGILLEM (M.D.)
NPI
1700877339
Phone
Not provided
Address
810 PARK PL
Enumeration Date
2 November 2005
Last Update Date
15 March 2012

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5743355000
Graduation Year
1993 (33 years ago)
PAC ID
6002814803
Group Practice PAC ID
4981841780
Professional Enrollment ID
I20061109000509
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK JAY MCGILLEM (M.D.)

  • 810, Park Place, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    MISHAWAKA, IN 465453520

    Phone:

    Type: Mailing

  • Mishawaka Medical Center, 5215, Holy Cross Parkway, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    MISHAWAKA, IN 465451469

    Phone: (574) 335-2521

    Fax: (574) 335-2262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes427408$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes117116$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1111$0
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Insurance plans in this area (ZIP 46545)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981841780View full group profile
NameSpecialtyState
Internal MedicineIL
-IN
-IL
Physician AssistantIL
Physician AssistantIN
Internal MedicineIL
Hospitalist, Family Practice, Family PracticeVA
Internal MedicineIN
Internal MedicineOH
Internal MedicineIN

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Frequently asked questions

Does DR. MARK JAY MCGILLEM (M.D.) have a public NPI I can cite?
Public records show DR. MARK JAY MCGILLEM (M.D.) under NPI 1700877339.
Should I treat DR. MARK JAY MCGILLEM (M.D.) as an active provider?
Patients and plans typically see DR. MARK JAY MCGILLEM (M.D.) as active in the national extract.
What does the directory say DR. MARK JAY MCGILLEM (M.D.) does?
Insurance directories may phrase it differently, but here DR. MARK JAY MCGILLEM (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MARK JAY MCGILLEM (M.D.) in Mishawaka, Indiana?
For routing, start with Mishawaka, Indiana for DR. MARK JAY MCGILLEM (M.D.), then verify phone and hours locally.
Who maintains DR. MARK JAY MCGILLEM (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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