Individual provider Active NPI

Roger Mendes Marques, DPM

  • Podiatrist
  • Newtown, PA
National Provider Identifier
1366471559
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005633 Issued in PA
Practice address
12 Penns Trail
Suite 154
Newtown, PA 18940-3438
Phone
(215) 675-3005
Fax
(888) 662-0859
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC005633 PA Primary

Addresses

Primary practice location

12 Penns Trail
Suite 154
Newtown, PA 18940-3438

Mailing address

888 Worcester St
Suite 130
Wellesley, MA 02482-3744
Phone (617) 964-6681

Other identifiers 4

IdentifierTypeStateIssuer
0019062040005MedicaidPA
2046669000OtherPAKEYSTONE HEALTH PLAN EAST
1354313OtherPAHIGHMARK BLUE SHIELD
480033946OtherPAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000169 PA Practitioner - Podiatry 7416099403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

12 Penns TRL
Suite 154
Newtown, PA 18940-3438
Phone (888) 964-6681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2505
Removal or shaving of skin growth174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005633PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jul 1, 2002 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jul 1, 2002 Accepting new patients
Jeffrey L. Morer, OD, PC Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

1070 Stouffer Ave
Chambersburg, PA 17201
Phone (717) 263-0436

900 E King St
Lancaster, PA 17602
Phone (717) 293-7279

12 Penns Trl
Ste 154
Newtown, PA 18940
Phone (215) 675-3005

1300 Industrial Blvd
Ste 2
Southampton, PA 18966
Phone (215) 942-9950

Organizations & group practices 3

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1366471559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WORCESTER ST",
            "address_2": "SUITE 130",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823744",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PENNS TRAIL",
            "address_2": "SUITE 154",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403438",
            "telephone_number": "215-675-3005",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "ROGER",
        "middle_name": "MENDES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019062040005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2046669000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1354313",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480033946",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.