Mario Kumar Maruthur, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD.42411 Issued in AL

Practice address

48 Medical Park Dr E Ste 458
Birmingham, AL 35235-3473

Phone

(205) 900-2000

Fax

(205) 838-4525

NPI assigned

Apr 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Specialty

Dermatology

Education

University of Arkansas College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SSD, LLCGroup PAC ID 2163821448, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.74 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.14

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1445

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.

• SSD, LLC

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1134700131
  Medicare reassignment Care Compare group NPD Authorized official
• Anniston Orthopedics Associates PA

  • Orthopaedic Surgery Physician
  • Anniston, AL
  • NPI 1114916681
  NPD (past)
• ENT Associates of Alabama, P.C.

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1841301082
  NPD (past)

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1356738199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 458",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353473",
            "telephone_number": "205-900-2000",
            "fax_number": "205-838-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 458",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353473",
            "telephone_number": "205-900-2000",
            "fax_number": "205-838-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUTHUR",
        "first_name": "MARIO",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD.42411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Martinez
• Paulina Martinez, RBT
• Vira Martyniak
• Colton Dean Marucci, M.D.
• Daniel S Marullo, PHD
• Daniel M Marvin, CRNP
• Mehak Preet Singh Marwah, MD
• Aaron Harold Maryanow, RPH
• Dana Figueroa Marzilli, MD
• Laurie Rafaelle Marzullo, MD

• Dermatology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.

Verify at the official NPI Registry.