Individual provider Active NPI

Marko Esteves Marbella, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1164764395
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18767 Issued in NV
Practice address
2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894
Phone
(702) 759-8600
Fax
(702) 384-1815
NPI assigned
Mar 26, 2013
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125064319 IL
Diagnostic Radiology Physician 2085R0202X 55999 AZ
Diagnostic Radiology Physician 2085R0202X 18767 NV Primary

Addresses

Primary practice location

2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894

Mailing address

2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894
Phone (702) 759-8600

Other identifiers 1

IdentifierTypeStateIssuer
1164764395MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CO2 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
I20190502001437 NV Practitioner - Diagnostic Radiology 9931401114 Reassigns benefits to 5 organizations
I20241106000390 CO Practitioner - Diagnostic Radiology 9931401114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians
Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89106
Phone (702) 759-8600

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

2020 Palomino LN
Suite 100
Las Vegas, NV 89106-4894
Phone (702) 759-8600

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (866) 722-1655

840 Cherry Glen PL
Las Vegas, NV 89138-4616
Phone (866) 722-1655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55999AZMDDiagnostic Radiology Physician
125064319ILMDDiagnostic Radiology Physician
18767NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Aug 26, 2024 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Aug 12, 2019 Accepting new patients
Yampa Valley Medical Center Current Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
Yampa Valley Medical Center CurrentSince Oct 1, 2024 Accepting new patients

Locations (25 of 33)

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 558-4027

2611 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 222-3544

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

3175 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 932-2740

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2020 Palomino Ln
Las Vegas, NV 89106
Phone (702) 384-5210

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-2354

31 N Nellis Blvd
Las Vegas, NV 89110

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3920 S Eastern Ave
Las Vegas, NV 89119

3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

4880 Wynn Rd
Ste 100
Las Vegas, NV 89103
Phone (702) 759-4600

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

6675 S Cimarron Rd
Las Vegas, NV 89113

6675 S Cimarron Rd
Ste 105
Las Vegas, NV 89113

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1164764395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBELLA",
        "first_name": "MARKO",
        "middle_name": "ESTEVES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125064319",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "55999",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "18767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164764395",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.