Individual provider Active NPI

Robert Marroquin Jr., DPM

  • Podiatrist
  • Metairie, LA
National Provider Identifier
1255687885
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
303434 Issued in LA
Practice address
123 Metairie Rd
Metairie, LA 70005-4560
Phone
(504) 703-7740
Fax
(504) 703-7741
NPI assigned
Aug 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301232 VA
Student in an Organized Health Care Education/Training Program 390200000X T60-2012 TX
Podiatrist 213E00000X 303434 LA Primary

Addresses

Primary practice location

123 Metairie Rd
Metairie, LA 70005-4560

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

2005 Veterans Memorial Blvd
Metairie, LA 70002-6320
Phone (504) 836-9820

Other practice location 2

3920A Bridge Rd Ste 204
Suffolk, VA 23435-1117
Phone (757) 983-0352

Other identifiers 2

IdentifierTypeStateIssuer
2430831MedicaidLA
06304047MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161022000178 LA Practitioner - Podiatry 5597043703 Reassigns benefits to 1 organization
I20180511001921 VA Practitioner - Podiatry 5597043703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

2005 Veterans Memorial Blvd
Metairie, LA 70002-6320
Phone (504) 836-9820

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303434LAMDPodiatrist
T60-2012TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 26, 2016 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 26, 2016 Accepting new patients
Sentara Medical Group Podiatrist CurrentSince Apr 30, 2018 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC PastSince Aug 7, 2022 Accepting new patients

Locations

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

2005 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 836-9820

1514 Jefferson Hwy
New Orleans, LA 70121

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2790 Godwin Blvd
Ste 355
Suffolk, VA 23434
Phone (757) 635-0784

3920A Bridge Rd
Ste 204
Suffolk, VA 23435
Phone (757) 983-0351

Interoperability endpoints

  • Direct secure messaging: rmarroquin400192@direct.ochsner.org

Organizations & group practices 5

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 4

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1255687885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054560",
            "telephone_number": "504-703-7740",
            "fax_number": "504-703-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Veterans Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700026320",
            "country_code": "US",
            "telephone_number": "504-836-9820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920A Bridge Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234351117",
            "country_code": "US",
            "telephone_number": "757-983-0352",
            "fax_number": "757-938-5754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301232",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "T60-2012",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "303434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430831",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06304047",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.