MARILYNN RANSOM FAIRFAX (MD) – Clinical Pathology Physician, NPI 1962440081

MARILYNN RANSOM FAIRFAX (MD) is a healthcare provider. based in Troy, Michigan. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 4301058560 (MI). The NPI Number for MARILYNN RANSOM FAIRFAX (MD) is 1962440081

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MARILYNN RANSOM FAIRFAX (MD)
NPI
1962440081
Phone
(248) 581-5974
Address
1560 E MAPLE RD
Enumeration Date
2 June 2006
Last Update Date
20 October 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
3137453000
Graduation Year
1985 (41 years ago)
PAC ID
0143232413
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20060705000186
Address ID
MI482012153DE4201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

573 PATHOLOGY in MI

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Provider Addresses for MARILYNN RANSOM FAIRFAX (MD)

  • 1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States

    SUITE 400-CREDENTIALING

    TROY, MI 480831189

    Phone: (248) 581-5974

    Fax: (248) 581-5640

    Type: Mailing

  • Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    UHC 3C

    DETROIT, MI 482012153

    Phone: (313) 745-4188

    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: 2006-07-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060705000186IPathologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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
84165Protein measurement, serum931448$0
86334Immunologic analysis technique on serum (immunofixation)865395$0
86335Immunologic analysis technique on body fluid, other fluids with concentration210142$0
84166Protein measurement, body fluid199136$0
View full utilization report →

Insurance plans in this area (ZIP 48083)

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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: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

What identifier follows MARILYNN RANSOM FAIRFAX (MD) across health systems?
The NPI 1962440081 uniquely identifies MARILYNN RANSOM FAIRFAX (MD) in U.S. healthcare data.
Should I treat MARILYNN RANSOM FAIRFAX (MD) as an active provider?
Patients and plans typically see MARILYNN RANSOM FAIRFAX (MD) as active in the national extract.
Which specialty label fits MARILYNN RANSOM FAIRFAX (MD)?
NPPES ties MARILYNN RANSOM FAIRFAX (MD) to Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARILYNN RANSOM FAIRFAX (MD)?
MARILYNN RANSOM FAIRFAX (MD) is associated with Troy, Michigan in the same public data insurers reference.
Why is information missing for MARILYNN RANSOM FAIRFAX (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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