Individual provider Active NPI

Vittorio D'Andrea Marin, MD

  • Pediatrics Physician
  • Corpus Christi, TX
National Provider Identifier
1104495233
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U6705 Issued in TX
Practice address
3435 S Alameda St
Corpus Christi, TX 78411-1751
Phone
(361) 694-5465
NPI assigned
Jun 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U6705 TX Primary

Addresses

Primary practice location

3435 S Alameda St
Corpus Christi, TX 78411-1751

Mailing address

3435 S Alameda St
Corpus Christi, TX 78411-1751
Phone (361) 855-7346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240806000955 TX Practitioner - Pediatric Medicine 0941747117 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas CurrentSince Aug 1, 2025 Accepting new patients
Coastal Children'S Clinic PA Pediatrics CurrentSince Jul 1, 2024 Accepting new patients
Children'S Physician Services of South Texas Pediatrics CurrentSince Aug 1, 2025 Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3435 S Alameda St
Ste 200
Corpus Christi, TX 78411

4525 Ayers St
Corpus Christi, TX 78415
Phone (877) 324-7543

3435 S Alameda St
Corpus Christi, TX 78411
Phone (361) 855-7346

1830 Billy G Webb
Portland, TX 78374
Phone (361) 643-2518

Organizations & group practices 3

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1104495233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111751",
            "telephone_number": "361-855-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111751",
            "telephone_number": "361-694-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANDREA MARIN",
        "first_name": "VITTORIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U6705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.