Individual provider Active NPI

Robert Paul Marseilles, M.D., J.D.

  • Psychiatry Physician
  • Wheaton, IL
National Provider Identifier
1053568766
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-126565 Issued in IL
Practice address
7 Blanchard Cir
Suite 201
Wheaton, IL 60189-2037
Phone
(630) 653-2300
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125053711 IL
Psychiatry Physician 2084P0800X 125053711 IL
Psychiatry Physician 2084P0800X 036-126565 IL Primary

Addresses

Primary practice location

7 Blanchard Cir
Suite 201
Wheaton, IL 60189-2037

Mailing address

7 Blanchard Cir
Suite 201
Wheaton, IL 60189-2037
Phone (630) 653-2300

Other identifiers 1

IdentifierTypeStateIssuer
02215643OtherILBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000672 IL Practitioner - Psychiatry 2567640956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Irvine, California College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Clinical Associates SCGroup PAC ID 0143202572, 19 clinicians

Practice addresses (Care Compare)

7 Blanchard Cir
Wheaton, IL 60189-2039
Phone (630) 653-2300

7 Blanchard Circle
Suite 201
Wheaton, IL 60189-2039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Juris Doctor, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125053711ILMDFamily Medicine Physician
036-126565ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Clinical Associates SC Psychiatry CurrentSince Jul 25, 2011 Accepting new patients
Mercy Services Iowa City, Inc. Past Accepting new patients

Locations

7 Blanchard Cir
Ste 201
Wheaton, IL 60189
Phone (630) 653-2300

Organizations & group practices 2

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1053568766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BLANCHARD CIR",
            "address_2": "SUITE 201",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892037",
            "telephone_number": "630-653-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BLANCHARD CIR",
            "address_2": "SUITE 201",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892037",
            "telephone_number": "630-653-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSEILLES",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D., J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125053711",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125053711",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-126565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02215643",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.