MARILENA C ORAVITAN (MD) – Internal Medicine Physician, NPI 1891752168
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
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Provider Addresses for MARILENA C ORAVITAN (MD)
1310 WISCONSIN ST STE 101
GRAND HAVEN, MI 494172472
Phone: (616) 296-1600
Fax: (616) 296-1602
Type: Mailing
Grand Haven Apartments, 520, North 20th Street, University Hill, Avenues West, Near West Side, Milwaukee, Milwaukee County, Wisconsin, 53233, United States
SUITE 100
GRAND HAVEN, MI 494172472
Phone: (616) 844-4701
Fax: (616) 847-1863
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071218000361 | I | Internal Medicine | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 159 | 92 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 66 | 66 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 47 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 49417)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Addiction Medicine, Family Practice | IL | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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