Individual provider Active NPI

Thomas L Marvelli, M. D.

  • Ophthalmology Physician
  • Fort Worth, TX
National Provider Identifier
1255317863
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G7848 Issued in TX
Practice address
6273 Granbury Rd
Fort Worth, TX 76133-3401
Phone
(817) 346-7333
Fax
(817) 346-7675
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G7848 TX Primary

Addresses

Primary practice location

6273 Granbury Rd
Fort Worth, TX 76133-3401

Mailing address

6273 Granbury Rd
Fort Worth, TX 76133-3401
Phone (817) 346-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101201000877 TX Practitioner - Ophthalmology 3971671439 Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6273 Granbury Rd
Fort Worth, TX 76133-3401
Phone (817) 346-7333

Merit-based Incentive Payment System (MIPS)

Final score
98.72 of 100Reported as individual
Quality
97.44
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1255317863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6273 GRANBURY RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333401",
            "telephone_number": "817-346-7333",
            "fax_number": "817-346-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6273 GRANBURY RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333401",
            "telephone_number": "817-346-7333",
            "fax_number": "817-346-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVELLI",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G7848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.