Individual provider Active NPI

Baptiste S Marino, MD

  • General Practice Physician
  • Matthews, NC
National Provider Identifier
1104070820
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34079 Issued in NC
Practice address
9723 Northeast Pkwy Ste 100
Matthews, NC 28105-9719
Phone
(980) 262-3007
Fax
(980) 262-3528
NPI assigned
Nov 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 34079 NC
Anesthesiology Physician 207L00000X 34079 NC
Family Medicine Physician 207Q00000X 34079 NC
Physical Medicine & Rehabilitation Physician 208100000X 34079 NC
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 34079 NC
Occupational Medicine Physician 2083X0100X 34079 NC
General Practice Physician 208D00000X 34079 NC Primary

Addresses

Primary practice location

9723 Northeast Pkwy Ste 100
Matthews, NC 28105-9719

Mailing address

PO Box 1707
Matthews, NC 28106-1707
Phone (336) 240-3500

Other identifiers 3

IdentifierTypeStateIssuer
53917OtherNCBCBS
TL5072MedicaidSC
8950665MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041216001025 NC Practitioner - AnesthesiologyPractitioner - General Practice 6406841428 Reassigns benefits to 1 organization
I20100526000692 SC Practitioner - Anesthesiology 6406841428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: General Practice
Education
Medical College of Ohio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ubylee Healthcare Group, PLLCGroup PAC ID 8921349044, shared by 3 NPIs, 14 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1044 X Ray Dr
Gastonia, NC 28054-7488
Phone (980) 262-3007

1674 Cranium Dr
Suite 103
Rock Hill, SC 29732-3583
Phone (839) 247-1450

7482 Waterside Crossing Blvd
Denver, NC 28037-3006
Phone (704) 827-0598

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15161SCMDClinical Social Worker
34079NCMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ubylee Healthcare Group, PLLC Family Medicine CurrentSince Apr 2, 2026 Accepting new patients
Ubylee Healthcare Group, PLLC Family Medicine CurrentSince Feb 5, 2019 Accepting new patients
Ubylee Healthcare Group Family Medicine CurrentSince Feb 5, 2019 Accepting new patients
American Health Network of Kentucky, LLC Family Medicine Current Accepting new patients
Musc Community Physicians CurrentSince Apr 14, 2022 Accepting new patients
Musc Community Physicians Current Accepting new patients
Musc Community Physicians Family Medicine CurrentSince Apr 14, 2022 Accepting new patients
Telomere Anesthesiology Associates Past Accepting new patients
Anesthesiology Medical Services PSC Anesthesiology Past Accepting new patients

Locations

1044 X Ray Dr
Gastonia, NC 28054
Phone (704) 691-7145

1212 Mann Dr
Ste 200
Matthews, NC 28105
Phone (980) 262-3007

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

1674 Cranium Dr
Ste 103
Rock Hill, SC 29732
Phone (980) 262-3007

Organizations & group practices 9

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": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1104070820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1707",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281061707",
            "telephone_number": "336-240-3500",
            "fax_number": "877-546-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9723 NORTHEAST PKWY STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059719",
            "telephone_number": "980-262-3007",
            "fax_number": "980-262-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "BAPTISTE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-07",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NC",
            "license": "34079",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "34079",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "34079",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "34079",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NC",
            "license": "34079",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NC",
            "license": "34079",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "34079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53917",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL5072",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950665",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.