Active NPI
Roy G. Marcus, M.D.
- Nephrology Physician
- Upland, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD061386L
- Practice address
- 30 Medical Center Blvd
Suite 303
Upland, PA 19013-3955 - Phone
- (610) 872-8501
- Fax
- (610) 872-5188
- NPI assigned
- Jun 3, 2006
- Last updated
- Jul 26, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD061386L | PA | Primary |
Addresses
Primary practice location
30 Medical Center Blvd
Suite 303
Upland, PA 19013-3955
Mailing address
30 Medical Center Blvd
Suite 303
Upland, PA 19013-3955
Phone (610) 872-8501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Temple University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Medical Ctr Blvd
Suite 303
Chester, PA 19013-3958
Phone (610) 872-8501
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.59 of 100
- Quality
- 74.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD061386L | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Renal Associates, LLC | Nephrology | Current | Accepting new patients |
Locations
1 Medical Center Blvd
Ste 303
Chester, PA 19013
30 Medical Center Blvd
Ste 303
Chester, PA 19013
1930 S Broad St
Ste L
Philadelphia, PA 19145
Phone (215) 465-5878
Interoperability endpoints
- https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
- roy.marcus.1@3389.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Upland, PA
- NPI 1689620254
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Woodlyn Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Woodlyn, PA
- NPI 1376952531
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1245278084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MEDICAL CENTER BLVD",
"address_2": "SUITE 303",
"city": "UPLAND",
"state": "PA",
"postal_code": "190133955",
"telephone_number": "610-872-8501",
"fax_number": "610-872-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MEDICAL CENTER BLVD",
"address_2": "SUITE 303",
"city": "UPLAND",
"state": "PA",
"postal_code": "190133955",
"telephone_number": "610-872-8501",
"fax_number": "610-872-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "ROY",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD061386L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.