Individual provider Active NPI

Sean Patrick Marker, MD

  • Psychiatry Physician
  • Dorchester Center, MA
National Provider Identifier
1104852011
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
214158 Issued in MA
Practice address
2100 Dorchester Ave
4 South
Dorchester Center, MA 02124-5615
Phone
(617) 296-4000
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 214158 MA Primary

Addresses

Primary practice location

2100 Dorchester Ave
4 South
Dorchester Center, MA 02124-5615

Mailing address

29 Cumberland St
Unit #4
Boston, MA 02115-5313
Phone (617) 266-6149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160310001863 MA Practitioner - Psychiatry 0840596235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dothouse Health Inc.Group PAC ID 8729991021, 51 clinicians
Michael W. Marcus, M.D., P.C.Group PAC ID 7810945359, 6 clinicians

Practice addresses (Care Compare)

1353 Dorchester Ave
Dorchester, MA 02122-2932
Phone (617) 288-3230

898 Main St
Winchester, MA 01890-1913
Phone (781) 721-2737

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W. Marcus, M.D., P.C. Psychiatry CurrentSince Mar 24, 2024 Accepting new patients
Dothouse Health Inc. CurrentSince Jan 13, 2016 Accepting new patients

Locations

1353 Dorchester Ave
Dorchester, MA 02122
Phone (617) 288-3230

898 Main St
Winchester, MA 01890
Phone (781) 721-2737

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104852011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CUMBERLAND ST",
            "address_2": "UNIT #4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155313",
            "telephone_number": "617-266-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DORCHESTER AVE",
            "address_2": "4 SOUTH",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245615",
            "telephone_number": "617-296-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKER",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "214158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

Verify at the official NPI Registry.