NPIMap

Individual provider Active NPI

Marc J. Girsky, MD INC

  • Clinical Cardiac Electrophysiology Physician
  • Los Angeles, CA
National Provider Identifier
1215921044
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
G83112 Issued in CA
Practice address
1400 S Grand Ave
Suite 615
Los Angeles, CA 90015-3048
Phone
(213) 748-0110
Fax
(213) 748-0160
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X G83112 CA Primary

Addresses

Primary practice location

1400 S Grand Ave
Suite 615
Los Angeles, CA 90015-3048

Mailing address

1400 S Grand Ave
Suite 615
Los Angeles, CA 90015-3048
Phone (213) 748-0110

Other identifiers 2

IdentifierTypeStateIssuer
P00464615OtherCAMEDICARE RAILROAD
00G831120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316001076 CA Practitioner - Cardiovascular Disease (Cardiology) 0547215170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of California, Irvine, California College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 S Grand Ave
Suite 615
Los Angeles, CA 90015-3069
Phone (213) 748-0110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83112CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc J Girsky MD Inc Clinical Cardiac Electrophysiology CurrentSince Sep 1, 2007 Accepting new patients
County of Los Angeles CurrentSince Jun 25, 2001 Accepting new patients
County of Los Angeles CurrentSince Jun 25, 2001 Accepting new patients
Dignity Community Care Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Los Angeles Cardiology Associates Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1400 S Grand Ave
Ste 615
Los Angeles, CA 90015
Phone (213) 481-2222

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 2

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1215921044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "SUITE 615",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-748-0110",
            "fax_number": "213-748-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "SUITE 615",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-748-0110",
            "fax_number": "213-748-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRSKY",
        "first_name": "MARC",
        "middle_name": "J.",
        "credential": "MD INC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G83112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00464615",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G831120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.