Organization Active NPI

Markuns Medical Services LLC

  • Internal Medicine Physician
  • Beverly, MA
National Provider Identifier
1003473430
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARKUNS MEDICAL SERVICES LLC
Practice address
500 Cummings Ctr Ste 1800
Beverly, MA 01915-6141
Phone
(978) 921-1210
Fax
(978) 921-1534
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Markuns, MDNPI 1689632507
Title
MD/Owner
Phone
(617) 429-5824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

500 Cummings Ctr Ste 1800
Beverly, MA 01915-6141

Mailing address

35 United Dr Ste 102
West Bridgewater, MA 02379-1027
Phone (508) 238-8646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190626000507 MA Part B Supplier - Clinic/Group Practice 8022342062 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly, MA; Gloucester, MA

National Provider Directory

National Provider Directory

Locations

500 Cummings Ctr
Beverly, MA 01915
Phone (978) 232-0332

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1003473430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791027",
            "telephone_number": "508-238-8646",
            "fax_number": "508-230-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR STE 1800",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156141",
            "telephone_number": "978-921-1210",
            "fax_number": "978-921-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKUNS MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "MARKUNS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "617-429-5824",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.