Active NPI
Robert George Marvin, M.D.
- Surgery Physician
- Houston, TX
National Provider Identifier
1316006554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- J7071
- Practice address
- 3429 W Holcombe Blvd
Houston, TX 77025-1311 - Phone
- (713) 993-7124
- Fax
- (713) 963-0476
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | J7071 | TX | Primary |
Addresses
Primary practice location
3429 W Holcombe Blvd
Houston, TX 77025-1311
Mailing address
3429 W Holcombe Blvd
Houston, TX 77025-1311
Phone (713) 993-7124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137749112 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- McGill University, Faculty of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6330 W Loop S
Suite 610
Bellaire, TX 77401-2942
Phone (713) 993-7124
Hospital & facility affiliations
- Longview Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Specialist
- Houston, TX
- NPI 1881873446
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1316006554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3429 W HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251311",
"telephone_number": "713-993-7124",
"fax_number": "713-963-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3429 W HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251311",
"telephone_number": "713-993-7124",
"fax_number": "713-963-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARVIN",
"first_name": "ROBERT",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "J7071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137749112",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.