Individual provider Active NPI

Marshall E Tarzy, DPM

  • Podiatrist
  • Frederick, MD
National Provider Identifier
1194852707
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD01039 Issued in MD
Practice address
1519 W Patrick St
Frederick, MD 21702-3724
Phone
(301) 663-3338
Fax
(301) 663-0642
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD01039 MD Primary

Addresses

Primary practice location

1519 W Patrick St
Frederick, MD 21702-3724

Mailing address

1519 W Patrick St
Frederick, MD 21702-3724
Phone (301) 788-6047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000612 MD Practitioner - Podiatry 5799969424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1519 W Patrick St
Frederick, MD 21702-3724
Phone (301) 663-3338

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue5729
Removal or shaving of skin growth5530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD01039MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1194852707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023724",
            "telephone_number": "301-788-6047",
            "fax_number": "301-663-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023724",
            "telephone_number": "301-663-3338",
            "fax_number": "301-663-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARZY",
        "first_name": "MARSHALL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "MD01039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.