Individual provider Active NPI

Daniela Marques

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1265095657
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA005335 Issued in PA
Practice address
4190 City Ave Ste 528
Philadelphia, PA 19131-1635
Phone
(866) 453-8800
NPI assigned
Apr 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X OA005335 PA Primary

Addresses

Primary practice location

4190 City Ave Ste 528
Philadelphia, PA 19131-1635

Mailing address

803 W Adalee St
Tampa, FL 33603-5401

Other practice location 1

803 W Adalee St
Tampa, FL 33603-5401
Phone (813) 695-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220816000332 NC Practitioner - Physician Assistant 0941620736 Reassigns benefits to 2 organizations
I20260413001226 TN Practitioner - Physician Assistant 0941620736 Reassigns benefits to 1 organization
I20260526000900 VA Practitioner - Physician Assistant 0941620736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Apogee Behavioral Medicine PCGroup PAC ID 6204218357, 64 clinicians
Village Internal Medicine, PAGroup PAC ID 4880785823, 5 clinicians

Practice addresses (Care Compare)

1000 Park Forty PLZ
Suite 125
Durham, NC 27713-5249
Phone (919) 912-5599

1843 Quiet Cove
Fayetteville, NC 28304-3857

1843 Quiet CV
Fayetteville, NC 28304-3857
Phone (910) 483-8080

445 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-5166
Phone (336) 967-6596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc PastSince Nov 8, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: apogeebehavioralmedicine.danielamarques@153105.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1265095657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W ADALEE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336035401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE STE 528",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311635",
            "telephone_number": "866-453-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 W Adalee St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336035401",
            "country_code": "US",
            "telephone_number": "813-695-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "DANIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-21",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.