Timothy Leroy Marshall, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101029169 Issued in VA

Practice address

48 Newmarket SQ
Newport News, VA 23605-2721

Phone

(757) 825-8030

Fax

(757) 847-9149

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Timothy L Marshall Professional name

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1154674026

  DC

  Medicare reassignment NPD
• PMR Virginia Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1083167001

  VA

  Medicare reassignment NPD
• Timothy L Marshall, M.D., P.C.

  • Cardiovascular Disease Physician
  • Suffolk, VA
  • NPI 1831355353
  NPD (past) Authorized official
• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Arlington, VA
  • NPI 1225899719

  Internal Medicine

  NPD
• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1902104532
  NPD
• Jencare Neighborhood Medical East Richmond, LLC

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1891089454
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1275645376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NEWMARKET SQ",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236052721",
            "telephone_number": "757-825-8030",
            "fax_number": "757-847-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NEWMARKET SQ",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236052721",
            "telephone_number": "757-825-8030",
            "fax_number": "757-847-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TIMOTHY",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101029169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "22678597",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "007284",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "12873",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6059279",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "266683",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "MARSHALL",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Terrence Marrow
• Willie Marrow III, DPT
• Larry Larue Marsh, CRNA
• Carmella Charmayne Marshall, PA-C
• John Lyons Marshall, MD
• Martin J Menges Jr DDS
• Andrew Lee Martin, PSY.D.
• April Martin, LPC
• Chelsea Martin
• Julie Martin, PA-C

• Internal Medicine Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.