Individual provider Active NPI

John Edward Marvel, MD

  • Radiation Oncology Physician
  • Logansport, IN
National Provider Identifier
1265432173
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01035352 Issued in IN
Practice address
1616 Smith St
Logansport, IN 46947-1264
Phone
(574) 722-3650
Fax
(574) 722-5741
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 01035352 IN Primary

Addresses

Primary practice location

1616 Smith St
Logansport, IN 46947-1264

Mailing address

6100 W 96TH St
Ste 125
Indianapolis, IN 46278-6005
Phone (317) 715-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040621001475 IN Practitioner - Radiation Oncology 5799689741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Louisiana State University School of Medicine in New Orleans, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Group PCGroup PAC ID 1850295858, 21 clinicians
University Dermatology Center PCGroup PAC ID 5496706210, 12 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46278
Phone (317) 715-1800

1473 E State Rd
44 Suite 1
Connersville, IN 47331-8375
Phone (765) 747-6090

3500 W Purdue Ave
Muncie, IN 47304-6357
Phone 7657476090206

830 Sim Hodgin Pkwy
Richmond, IN 47374-1931
Phone (765) 747-6090

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology Center PC CurrentSince Sep 29, 2014 Accepting new patients
Cancer Care Group, P.C. Radiation Oncology CurrentSince Feb 28, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1473 E State Road 44
Ste 1
Connersville, IN 47331

6100 W 96th St
Ste 125
Indianapolis, IN 46278
Phone (317) 715-1803

3500 W Purdue Ave
Muncie, IN 47304
Phone (765) 286-0236

Interoperability endpoints

  • Direct secure messaging: jmarvel529787@direct.franciscanalliance.org

Organizations & group practices 4

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 5

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1265432173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W 96TH ST",
            "address_2": "STE 125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786005",
            "telephone_number": "317-715-1800",
            "fax_number": "317-715-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 SMITH ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471264",
            "telephone_number": "574-722-3650",
            "fax_number": "574-722-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01035352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.