Active NPI
Marvin F Ewy, MD
- Family Medicine Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01839
- Practice address
- 3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308 - Phone
- (877) 866-7123
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 01839 | NC | |
| Family Medicine Physician | 207Q00000X | 01839 | NC | Primary |
| Surgery Physician | 208600000X | 2007-01839 | NC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01839 | NC |
Addresses
Primary practice location
3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308
Mailing address
2862 Hugo Rd
Grifton, NC 28530-8322
Phone (252) 229-7697
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148EC | Other | NC | BCBSNC |
| 5908403 | Medicaid | NC | |
| 28561 | Other | AZ | AZ MEDICAL LICENSE |
| 2007-01839 | Other | NC | NC MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080415000446 | NC | Practitioner - Family Practice | 0345130753 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vohra Wound Physicians of Ny PLLC
Practice addresses (Care Compare)
1410 E Gaston St
Lincolnton, NC 28092-4400
Phone (704) 732-1138
2780 X Ray Dr
Gastonia, NC 28054-7490
Phone (704) 861-0981
3331 Tate Boulevard SE
Hickory, NC 28602-1455
Phone (877) 866-7123
6041 Piedmont Row Dr S
Charlotte, NC 28210-4967
Phone (980) 443-6760
7615 Dallas Cherryville Hwy
Cherryville, NC 28021-9049
Phone (704) 435-6029
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 955 |
| Removal of skin lesions | 97 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5798 | CO | MD | Sports Physician Chiropractor |
| 2007-01839 | NC | MD | Surgery Physician |
| 01839 | NC | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vein Essentials PLLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Vohra Wound Physicians of Ny, PLLC | Family Medicine | Current | Accepting new patients |
Locations
3987 E Paradise Falls Dr
Ste 119
Tucson, AZ 85712
Phone (520) 408-6955
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
717 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 444-6894
40 Sunset Ridge Rd
Ste 120
New Paltz, NY 12561
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1447527320
Family Medicine, NC
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tucson, AZ
- NPI 1225136351
Thoracic Surgery (Cardiothoracic Vascular Surgery)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1225136286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2862 HUGO RD",
"city": "GRIFTON",
"state": "NC",
"postal_code": "285308322",
"telephone_number": "252-229-7697",
"fax_number": "252-672-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE",
"address_2": "SUITE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276308",
"telephone_number": "877-866-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWY",
"first_name": "MARVIN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "01839",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "01839",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2007-01839",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NC",
"license": "01839",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "148EC",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908403",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ MEDICAL LICENSE",
"identifier": "28561",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL LICENSE",
"identifier": "2007-01839",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.1",
"affiliationName": "Bluemark",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "40 Sunset Ridge Rd Ste 120",
"city": "New Paltz",
"state": "NY",
"country_code": "US",
"postal_code": "125611039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.