Individual provider Active NPI

Robert Marcus Jr., MD

  • Therapeutic Radiology Physician
  • Pensacola, FL
National Provider Identifier
1023024189
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
29054 Issued in FL
Practice address
1545 Airport Blvd
Suite 1000
Pensacola, FL 32504-8615
Phone
(850) 416-6770
Fax
(850) 416-7770
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 029347 GA
Therapeutic Radiology Physician 2085R0203X 29054 FL Primary

Addresses

Primary practice location

1545 Airport Blvd
Suite 1000
Pensacola, FL 32504-8615

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-6770

Other identifiers 1

IdentifierTypeStateIssuer
000189400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040602001203 GA Practitioner - Radiation Oncology 8426030685 Reassigns benefits to 2 organizations
I20080726000083 FL Practitioner - Radiation Oncology 8426030685
I20190207000391 MO Practitioner - Radiation Oncology 8426030685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Florida College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poplar Bluff Hma Physician Management, LLCGroup PAC ID 5092769703, 41 clinicians

Practice addresses (Care Compare)

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone (573) 727-2773

3098 Oak Grove Rd
Poplar Bluff, MO 63901-8938
Phone (855) 444-7276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
029347GAMDRadiation Oncology Physician
29054FLMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Bluff Hma Physician Management, LLC CurrentSince Aug 1, 2019 Accepting new patients
Kansas City Urology Care, P.a. CurrentSince Jan 21, 2019 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Nov 12, 2018 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Hamilton Physician Group Inc CurrentSince Nov 12, 2018 Accepting new patients
Tanner Medical Group Inc CurrentSince Feb 24, 2020 Accepting new patients

Locations

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

165 Clinic Ave
Carrollton, GA 30117
Phone (770) 836-9824

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

17525 Medical Center Pkwy
Independence, MO 64057
Phone (816) 836-6875

4321 Washington St
Ste 5300
Kansas City, MO 64111
Phone (816) 531-1234

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

Interoperability endpoints

  • Direct secure messaging: rmarcus@shhpens.direct.varian.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1023024189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-416-6770",
            "fax_number": "850-416-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 AIRPORT BLVD",
            "address_2": "SUITE 1000",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048615",
            "telephone_number": "850-416-6770",
            "fax_number": "850-416-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "029347",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "FL",
            "license": "29054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000189400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.