Individual provider Active NPI

Marvin F Ewy, MD

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1225136286
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01839 Issued in NC
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

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
148ECOtherNCBCBSNC
5908403MedicaidNC
28561OtherAZAZ MEDICAL LICENSE
2007-01839OtherNCNC MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000446 NC Practitioner - Family PracticePractitioner - Cardiac SurgeryPractitioner - Vascular SurgeryPractitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Peripheral Vascular Disease 0345130753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
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 PLLCGroup PAC ID 0446410435, 35 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue955
Removal of skin lesions97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5798COMDSports Physician Chiropractor
2007-01839NCMDSurgery Physician
01839NCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Essentials PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Vohra Wound Physicians of Ny, PLLC Family Medicine CurrentSince Nov 24, 2014 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.

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

Verify at the official NPI Registry.