Individual provider Active NPI

Marco A Pinder, MD

  • Pediatric Cardiology Physician
  • Denver, CO
National Provider Identifier
1184988560
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
DR.0055562 Issued in CO
Practice address
13123 East 16TH Ave
Denver, CO 80238
Phone
(720) 777-2940
Fax
(720) 777-7290
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X DR.0055562 CO Primary

Addresses

Primary practice location

13123 East 16TH Ave
Denver, CO 80238

Mailing address

13123 East 16TH Avenue
Box 100
Denver, CO 80238
Phone (720) 777-2940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220820000120 FL Practitioner - Pediatric Medicine 0648594531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0055562COMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

3253 N McMullen Booth Rd
Ste 100
Clearwater, FL 33761
Phone (727) 725-8102

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Interoperability endpoints

  • Direct secure messaging: mpinder1024904@direct.hopkinsmedicine.org
  • Direct secure messaging: mpinder384107@orlandohealth.medalliesdirect.net

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1184988560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 EAST 16TH AVENUE",
            "address_2": "BOX 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80238",
            "telephone_number": "720-777-2940",
            "fax_number": "720-777-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 EAST 16TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80238",
            "telephone_number": "720-777-2940",
            "fax_number": "720-777-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINDER",
        "first_name": "MARCO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CO",
            "license": "DR.0055562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.