Individual provider Active NPI

Steven Mari

  • General Practice Physician
  • Tyler, TX
National Provider Identifier
1336769405
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
V5562 Issued in TX
Practice address
5230 Old Jacksonville Hwy Ste 105
Tyler, TX 75703-3766
Phone
(430) 562-2343
Fax
(430) 562-9918
NPI assigned
Apr 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X DO2023-1024 NM
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X V5562 TX Primary

Addresses

Primary practice location

5230 Old Jacksonville Hwy Ste 105
Tyler, TX 75703-3766

Mailing address

625 19TH St S
Birmingham, AL 35233-1900
Phone (205) 934-4011

Other practice location 1

301 E MacDade Blvd Fl 1
Folsom, PA 19033-2622
Phone (888) 707-2372

Other practice location 2

1481 McDonald Ave
Brooklyn, NY 11230-4667
Phone (929) 491-7700

Other names 1

  • Dr. Steven Lamens Mari Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20231121003675 NM Practitioner - Orthopedic Surgery 7012332042 Reassigns benefits to 1 organization
I20250328000507 TX Practitioner - General Practice 7012332042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Pacific Medical College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Provider Health PAGroup PAC ID 2264531276, 30 clinicians

Practice addresses (Care Compare)

4316 James Casey St
Suite B 100
Austin, TX 78745-1142
Phone (512) 444-4325

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Henderson, TX, CCN 458072
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V5562TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wound Care of New Mexico LLC Single Specialty CurrentSince Nov 2, 2023 Accepting new patients
Han Pham Hulen MD PA CurrentSince Feb 1, 2025 Accepting new patients
Premier Provider Health PA Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Premier Provider Health PA Single Specialty Past Accepting new patients
Premier Provider Health PA Single Specialty Past Accepting new patients

Locations

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

5900 Forest Hills Dr NE
Albuquerque, NM 87109
Phone (505) 514-2900

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

4316 James Casey St
Ste B-100
Austin, TX 78745
Phone (512) 444-4325

9301 N Central Expy
Ste 340
Dallas, TX 75231
Phone (214) 466-2828

5575 Warren Pkwy
Ste 206
Frisco, TX 75034
Phone (469) 287-7089

1325 Pennsylvania Ave
Ste 750
Ft Worth, TX 76104
Phone (817) 250-1970

1 Chisholm Trail Rd
Ste 5200
Round Rock, TX 78681
Phone (346) 239-9469

2410 Round Rock Ave
Ste 195
Round Rock, TX 78681
Phone (512) 341-5141

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

5230 Old Jacksonville Hwy
Ste 105
Tyler, TX 75703
Phone (430) 201-4216

Organizations & group practices 5

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 2

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": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1336769405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 OLD JACKSONVILLE HWY STE 105",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033766",
            "telephone_number": "430-562-2343",
            "fax_number": "430-562-9918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E MacDade Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "PA",
            "postal_code": "190332622",
            "country_code": "US",
            "telephone_number": "888-707-2372",
            "fax_number": "888-919-6863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1481 McDonald Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112304667",
            "country_code": "US",
            "telephone_number": "929-491-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARI",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-19",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "DO2023-1024",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "V5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "LAMENS MARI",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.