Individual provider Active NPI

Abhinav Markus, MD

  • Family Medicine Physician
  • San Luis, AZ
National Provider Identifier
1376164335
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
75108 Issued in AZ
Practice address
151 S Oak Ave Ste 2
San Luis, AZ 85336-0756
Phone
(928) 662-0414
NPI assigned
Apr 30, 2020
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Family Medicine Physician 207Q00000X A191036 CA
Family Medicine Physician 207Q00000X 75108 AZ Primary

Addresses

Primary practice location

151 S Oak Ave Ste 2
San Luis, AZ 85336-0756

Mailing address

PO Box 617
Somerton, AZ 85350-0617
Phone (928) 662-0406

Other practice location 1

400 N Pepper Ave
Colton, CA 92324-1819
Phone (909) 580-3366

Other practice location 2

191 N Sunrise Way
Palm Springs, CA 92262-5201
Phone (760) 778-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20240222002116 CA Practitioner - Family Practice 6002250693 Reassigns benefits to 1 organization
I20241204002114 AZ Practitioner - Family Practice 6002250693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Luis Walk-in Clinic IncGroup PAC ID 2668361841, 49 clinicians

Practice addresses (Care Compare)

1233 N Main St
San Luis, AZ 85336-0663
Phone (928) 550-5514

151 S Oak Ave
San Luis, AZ 85336-0756

950 E Main St
Somerton, AZ 85350-7409

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75108AZMDFamily Medicine Physician
A191036CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Nov 18, 2024 Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Nov 18, 2024 Accepting new patients
County of Riverside CurrentSince Jan 9, 2024 Accepting new patients
County of Riverside CurrentSince Jan 9, 2024 Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients

Locations

601 W Riverside Dr
Ste 4
Parker, AZ 85344
Phone (928) 256-4110

214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120

950 E Main St
Bldg B
Somerton, AZ 85350
Phone (928) 236-8001

191 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 770-2286

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

Interoperability endpoints

  • Direct secure messaging: amarkus928048@direct.llu.edu
  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1376164335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-662-0406",
            "fax_number": "928-662-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S OAK AVE STE 2",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360756",
            "telephone_number": "928-662-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241819",
            "country_code": "US",
            "telephone_number": "909-580-3366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 N Sunrise Way",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922625201",
            "country_code": "US",
            "telephone_number": "760-778-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKUS",
        "first_name": "ABHINAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A191036",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "75108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

Verify at the official NPI Registry.