Active NPI
Robert A. Marino, M.D.
- Urology Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0057884
- Practice address
- 2045 Professional Center Dr
Orange Park, FL 32073-4461 - Phone
- (904) 276-1580
- Fax
- (904) 276-9586
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0057884 | FL | Primary |
Addresses
Primary practice location
2045 Professional Center Dr
Orange Park, FL 32073-4461
Mailing address
2045 Professional Center Dr
Orange Park, FL 32073-4461
Phone (904) 276-1580
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4200778 | Other | FL | AETNA |
| 051938300 | Medicaid | FL | |
| 000958746A | Medicaid | GA | |
| 1RXJ6 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Oklahoma College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000
653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0057884 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| North Florida Acute Care Specialists LLC | Past | Accepting new patients | |
| North Florida Gastroenterology LLC | Past | Accepting new patients |
Locations
15255 Max Leggett Pkwy
Ste 3100
Jacksonville, FL 32218
Phone (904) 383-1015
15255 Max Leggett Pkwy
Ste 4900
Jacksonville, FL 32218
Phone (904) 244-3406
653 W 8th St
Fl 2
Jacksonville, FL 32209
Phone (904) 244-7281
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
Interoperability endpoints
- rmarino54609@direct.shands.ufl.edu
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Surgery Physician
- Jacksonville, FL
- NPI 1588824858
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1245489038
-
- Gastroenterology Physician
- Orange Park, FL
- NPI 1275725343
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515110400000",
"number": "1053468967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 PROFESSIONAL CENTER DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734461",
"telephone_number": "904-276-1580",
"fax_number": "904-276-9586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 PROFESSIONAL CENTER DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734461",
"telephone_number": "904-276-1580",
"fax_number": "904-276-9586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "ROBERT",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2018-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME0057884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4200778",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051938300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000958746A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1RXJ6",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.