Individual provider Active NPI

Daniel B Marth, DO

  • Student in an Organized Health Care Education/Training Program
  • Pensacola, FL
National Provider Identifier
1326569286
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
UO5743 Issued in FL
Practice address
5153 N 9TH Ave FL 6
Pensacola, FL 32504-8785
Phone
(850) 416-7658
Fax
(850) 416-7710
NPI assigned
Jun 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X UO5743 FL Primary
Pediatrics Physician 208000000X 036-153717 IL

Addresses

Primary practice location

5153 N 9TH Ave FL 6
Pensacola, FL 32504-8785

Mailing address

5153 North 9TH Ave
6TH Floor Nemours
Pensacola, FL 32504
Phone (850) 416-7658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MS2 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
I20210302003206 IL Practitioner - Pediatric Medicine 6709292527 Reassigns benefits to 2 organizations
I20231014000403 MS Practitioner - Pediatric Medicine 6709292527 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-153717ILMDPediatrics Physician
UO5743FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Nov 14, 2025 Accepting new patients
Central Mississippi Civic Improvement Association, Inc Current Accepting new patients
Beloved Community Family Wellness Center CurrentSince Jan 23, 2021 Accepting new patients
Beloved Community Family Wellness Center CurrentSince Jan 23, 2021 Accepting new patients
Central Mississippi Civic Improvement Association, Inc CurrentSince Jun 8, 2023 Accepting new patients
Cook County Pediatrics CurrentSince Nov 14, 2025 Accepting new patients
Cook County Current Accepting new patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Jun 8, 2023 Accepting new patients
Sacred Heart Health System, Inc. PastSince Jul 24, 2022 Accepting new patients
Florida State University PastSince Jul 24, 2022 Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

6821 S Halsted St
Chicago, IL 60621
Phone (773) 651-3629

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

326 W 64th St
Ste 205
Chicago, IL 60621
Phone (773) 651-3629

350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666

3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625

129 White Oak St
Utica, MS 39175
Phone (601) 885-6021

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1326569286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 NORTH 9TH AVE",
            "address_2": "6TH FLOOR NEMOURS",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-416-7658",
            "fax_number": "850-416-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE FL 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048785",
            "telephone_number": "850-416-7658",
            "fax_number": "850-416-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTH",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO5743",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-153717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.