Active NPI
Carlos C Marrero Prats, M.D.
- Pain Medicine (Anesthesiology) Physician
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 325866
- Practice address
- 994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211 - Phone
- (631) 543-1440
- NPI assigned
- Jun 22, 2011
- Last updated
- Mar 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 325866 | NY | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 325866 | NY | |
| Interventional Pain Medicine Physician | 208VP0014X | 325866 | NY |
Addresses
Primary practice location
994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211
Mailing address
994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211
Phone (631) 543-1440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CarlosMarrero_37946@timothygrothmdpc.omnimddirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MD, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
994 W Jericho Tpke
Suite 104
Smithtown, NY 11787-3211
Phone (631) 543-1440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325866 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| Timothy D. Groth MD PC | Pain Medicine | Current | Accepting new patients |
| South Broward Hospital District | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Advanced Pain Management Specialists, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Interventional Pain Medicine | Past | Accepting new patients |
| Precision SC, LLC | Past | Accepting new patients |
Locations
3702 Washington St
Ste 303
Hollywood, FL 33021
Phone (954) 265-8326
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
1500 William Floyd Pkwy
Ste 201
Shirley, NY 11967
Phone (631) 205-0800
994 W Jericho Tpke
Ste 104
Smithtown, NY 11787
Phone (516) 400-3595
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- carlosmarrero_37946@timothygrothmdpc.omnimddirect.com
Organizations & group practices 7
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.
-
dba Memorial Division of Rehabilitative Medicine
- Physical Medicine & Rehabilitation Physician
- Hollywood, FL
- NPI 1750726378
-
dba Clearway Pain Solutions
- Interventional Pain Medicine Physician
- Annapolis, MD
- NPI 1861418220
-
dba Memorial Home Infusion
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
dba PrecisionCare Surgery Center
- Ambulatory Surgical Clinic/Center
- East Setauket, NY
- NPI 1679108914
-
dba Clearway Pain Solutions
- Clinical Medical Laboratory
- Owings Mills, MD
- NPI 1316315740
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Interventional Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1063708568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 W JERICHO TPKE STE 104",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873211",
"telephone_number": "631-543-1440",
"fax_number": "866-229-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 W JERICHO TPKE STE 104",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873211",
"telephone_number": "631-543-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO PRATS",
"first_name": "CARLOS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "325866",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "325866",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "325866",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CarlosMarrero_37946@timothygrothmdpc.omnimddirect.com",
"affiliation": "N",
"address_1": "994 W Jericho Tpke Ste 104",
"city": "Smithtown",
"state": "NY",
"country_code": "US",
"postal_code": "117873211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.