Active NPI
Michael E Marrero, M.D.
- Diagnostic Radiology Physician
- El Segundo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME131980
- Practice address
- 2330 Utah Ave Ste 200
El Segundo, CA 90245-4817 - Phone
- (281) 766-0959
- NPI assigned
- Jun 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 73844 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | ME131980 | FL | Primary |
Addresses
Primary practice location
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Mailing address
PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554
Other practice location 1
5 Alumni Drive
Exeter, NH 03833-2128
Phone (603) 580-6608
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109754Y0NH02 | Other | NH | ANTHEM |
| 300134039 | Other | RAILROAD MEDICARE | |
| 3078337 | Medicaid | MA | |
| 4276160 | Other | AETNA | |
| 292780099 | Medicaid | ME | |
| 30203233 | Medicaid | NH | |
| 3405042 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1063 Bahia Vista CT
Sarasota, FL 34232-2403
Phone (904) 399-5550
11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (904) 399-5550
1880 Loma Linda St
Sarasota, FL 34239-2205
Phone (904) 399-5550
1941 Waldemere St
Cape Surgery Center
Sarasota, FL 34239-2922
Phone (904) 399-5550
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550
2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (904) 399-5550
2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155
3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550
3333 Cattlemen Rd
Sarasota, FL 34232-6057
5880 Rand Blvd
Sarasota, FL 34238-5118
Phone (904) 399-5550
921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390
943 S Beneva Rd
FL 1
Sarasota, FL 34232-2476
Phone (941) 955-6748
943 S Beneva Rd
Suite 113
Sarasota, FL 34232-2471
Phone (941) 316-0133
965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888
Hospital & facility affiliations
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
- Sacred Heart Hospital
- Ascension Sacred Heart Bay
- Parrish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.36 of 100
- Quality
- 85.92
- Promoting interoperability
- 78
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.52 of 100
- Quality
- 93.8
- Improvement activities
- 40
- Cost
- 79.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131980 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Core Physicians LLC | Current | Accepting new patients | |
| Intercoastal Medical Group Inc | Current | Accepting new patients | |
| Providence Diagnostic Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Core Physicians, LLC | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
2330 Utah Ave
#200
El Segundo, CA 90245
Phone (281) 766-9059
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644
921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
96 Calef Hwy
Unit 6
Epping, NH 03042
Phone (603) 679-5114
7 Holland Way
#1
Exeter, NH 03833
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180
7 Alumni Dr
Exeter, NH 03833
Phone (603) 777-1000
127 Plaistow Rd
Plaistow, NH 03865
Phone (603) 382-4972
605 Lafayette Rd
Portsmouth, NH 03801
Phone (603) 427-6600
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1578537767
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Exeter, NH
- NPI 1962443861
-
- Family Medicine Physician
- Exeter, NH
- NPI 1336330588
-
- Durable Medical Equipment & Medical Supplies
- Raymond, NH
- NPI 1083085724
-
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1609978170
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1346288669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042411849",
"telephone_number": "207-784-2554",
"fax_number": "207-777-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 UTAH AVE STE 200",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454817",
"telephone_number": "281-766-0959"
}
],
"practiceLocations": [
{
"address_1": "5 Alumni Drive",
"address_purpose": "LOCATION",
"city": "Exeter",
"state": "NH",
"postal_code": "038332128",
"country_code": "US",
"telephone_number": "603-580-6608",
"fax_number": "603-580-6707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARRERO",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "73844",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME131980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0109754Y0NH02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300134039",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078337",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4276160",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292780099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30203233",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3405042",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.