Individual provider Active NPI

Michael Fayek Marzouk, MD

  • Pediatric Anesthesiology Physician
  • Orlando, FL
National Provider Identifier
1033155114
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
ME96048 Issued in FL
Practice address
92 W Miller St
Orlando, FL 32806-2032
Phone
(321) 841-4607
Fax
(321) 841-4603
NPI assigned
Jun 20, 2006
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N6480 TX
Anesthesiology Physician 207L00000X ME96048 FL
Anesthesiology Physician 207L00000X 49762 TN
Pediatric Anesthesiology Physician 207LP3000X 49762 TN
Pediatric Anesthesiology Physician 207LP3000X ME96048 FL Primary

Addresses

Primary practice location

92 W Miller St
Orlando, FL 32806-2032

Mailing address

92 W Miller St
Orlando, FL 32806-2032
Phone (321) 841-4607

Other practice location 1

12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone (972) 715-5000

Other practice location 2

6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-9000

Other identifiers 2

IdentifierTypeStateIssuer
275870900MedicaidFL
ME96048OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, TX, CA, TN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20061221000147 FL Practitioner - Anesthesiology 7315946308 Reassigns benefits to 1 organization
I20220406002694 NY Practitioner - Anesthesiology 7315946308 Reassigns benefits to 1 organization
I20221118000974 TX Practitioner - Anesthesiology 7315946308 Reassigns benefits to 2 organizations
I20230117000686 CA Practitioner - Anesthesiology 7315946308 Reassigns benefits to 1 organization
I20230221002064 TN Practitioner - Anesthesiology 7315946308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49762TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Dec 15, 2023 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Anesthesiology CurrentSince Oct 24, 2024 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 2, 2011 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Aug 13, 2023 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Oct 17, 2022 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Dec 15, 2023 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Oct 6, 2023 Accepting new patients
American Anesthesiology of Tennessee, P.C. Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Feb 28, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 2, 2011 Accepting new patients
First Choice Physician Partners CurrentSince Dec 5, 2022 Accepting new patients
First Choice Physician Partners CurrentSince Dec 5, 2022 Accepting new patients
The Nemours Foundation Past Accepting new patients
Orlando Health Inc Pediatric Anesthesiology Past Accepting new patients
Orlando Health Inc Past Accepting new patients

Locations (25 of 27)

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

83 Columbia St
Orlando, FL 32806
Phone (321) 843-3220

92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607

7 Southwoods Blvd
Ste 4
Albany, NY 12211

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mmarzouk25106@orlandohealth.medalliesdirect.net

Organizations & group practices 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1033155114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062032",
            "telephone_number": "321-841-4607",
            "fax_number": "321-841-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062032",
            "telephone_number": "321-841-4607",
            "fax_number": "321-841-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 Merit Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752513294",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6225 Humphreys Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202373",
            "country_code": "US",
            "telephone_number": "901-227-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARZOUK",
        "first_name": "MICHAEL",
        "middle_name": "FAYEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N6480",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME96048",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "49762",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "TN",
            "license": "49762",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "FL",
            "license": "ME96048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275870900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME96048",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.