NPIMap

Individual provider Active NPI

David Mitchell Marcus, M.D.

  • Radiation Oncology Physician
  • Carbondale, CO
National Provider Identifier
1306089362
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
DR.0015469 Issued in CO
Practice address
359 Crystal Canyon Dr
Carbondale, CO 81623-9151
Phone
(214) 415-7432
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X DR.0015469 CO Primary
Internal Medicine Physician 207R00000X 54169 CO

Addresses

Primary practice location

359 Crystal Canyon Dr
Carbondale, CO 81623-9151

Mailing address

359 Crystal Canyon Dr
Carbondale, CO 81623-9151
Phone (214) 415-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141121001977 CO Practitioner - Radiation OncologyPractitioner - Medical Oncology 0941522247 Reassigns benefits to 3 organizations
I20241007000678 TX Practitioner - Radiation Oncology 0941522247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians
Valley View Hospital AssociationGroup PAC ID 1850294778, shared by 23 NPIs, 205 clinicians

Practice addresses (Care Compare)

1631 Lancaster Dr
Suite 150
Grapevine, TX 76051-3586
Phone (817) 251-9080

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-7570

Hospital & facility affiliations

  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075
  • Aspen Valley Hospital District Hospital, Aspen, CO, CCN 061324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54169COMDInternal Medicine Physician
DR.0015469COMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Sep 13, 2014 Accepting new patients
Valley View Hospital Association CurrentSince Sep 13, 2014 Accepting new patients
Texas Oncology PA Radiation Oncology Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Sep 13, 2014 Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Aug 15, 2024 Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Aug 15, 2024 Accepting new patients
Valley View Hospital Association Radiation Oncology CurrentSince Jan 8, 2024 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association Internal Medicine Current Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

2001 N Horseshoe Trl
Silt, CO 81652
Phone (970) 876-5700

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

4370 Medical Arts Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 537-4100

1631 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 251-9080

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

Interoperability endpoints

  • Direct secure messaging: david.marcus@directaddress.net
  • Direct secure messaging: vvh_him@direct.vvh.org
  • Direct secure messaging: david.marcus@txo.ikm.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1306089362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 CRYSTAL CANYON DR",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816239151",
            "telephone_number": "214-415-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 CRYSTAL CANYON DR",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816239151",
            "telephone_number": "214-415-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "DAVID",
        "middle_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "DR.0015469",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "54169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

Verify at the official NPI Registry.