Individual provider Active NPI

Daniel Eduardo Marrero, M.D.

  • Diagnostic Radiology Physician
  • Farmington, CT
National Provider Identifier
1265743041
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
055006 Issued in CT
Practice address
263 Farmington Avenue
Farmington, CT 06030-8033
Phone
(860) 679-2784
Fax
(860) 679-3145
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5506 CT
Diagnostic Radiology Physician 2085R0202X 253495 MA
Diagnostic Radiology Physician 2085R0202X 055006 CT Primary

Addresses

Primary practice location

263 Farmington Avenue
Farmington, CT 06030-8033

Mailing address

263 Farmington Avenue
Farmington, CT 06030-8033
Phone (860) 679-2784

Other practice location 1

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8170

Other practice location 2

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150728003637 MA Practitioner - Diagnostic Radiology 4789998352 Reassigns benefits to 1 organization
I20160809000731 CT Practitioner - Diagnostic Radiology 4789998352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Connecticut School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians
Radiology Associates of St Petersburg PAGroup PAC ID 2365413242, 26 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

285 Grandview Dr
Glastonbury, CT 06033-3943
Phone (727) 825-1100

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055006CTMDDiagnostic Radiology Physician
253495MAMDDiagnostic Radiology Physician
5506CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uconn Health Imaging, LLC Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
Radiology Associates of St. Petersburg PA Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
State of Connecticut Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 1, 2015 Accepting new patients
University of Connecticut Health Center CurrentSince Jul 11, 2018 Accepting new patients
University of Connecticut Health Center Diagnostic Radiology CurrentSince Jul 11, 2018 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

5 Munson Rd
Ste 110
Farmington, CT 06032
Phone (860) 679-2800

850 Bolton Rd
Storrs Mansfield, CT 06269
Phone (860) 486-2629

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

20 Patriot Pl
Foxborough, MA 02035
Phone (508) 718-4000

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 7

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1265743041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308033",
            "telephone_number": "860-679-2784",
            "fax_number": "860-679-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308033",
            "telephone_number": "860-679-2784",
            "fax_number": "860-679-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018050001",
            "country_code": "US",
            "telephone_number": "781-744-8170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018050001",
            "country_code": "US",
            "telephone_number": "781-744-8170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "DANIEL",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "5506",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "253495",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "055006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.