Individual provider Active NPI

Kevin Craig Marler, MD

  • Surgical Oncology Physician
  • Shreveport, LA
National Provider Identifier
1396701793
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
08493R Issued in OK
Practice address
8001 Youree Drive
Suite 840
Shreveport, LA 71115-2302
Phone
(318) 795-9100
NPI assigned
Apr 25, 2006
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 08493R OK Primary

Addresses

Primary practice location

8001 Youree Drive
Suite 840
Shreveport, LA 71115-2302

Mailing address

8001 Youree Drive
Suite 840
Shreveport, LA 71115-2302
Phone (318) 795-9100

Other identifiers 1

IdentifierTypeStateIssuer
1698873MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20070716000586 LA Practitioner - General SurgeryPractitioner - Surgical Oncology 5193823565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
University of Oklahoma College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8001 Youree Dr
Suite 840
Shreveport, LA 71115-2349
Phone (318) 869-2737

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.04 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)17
Mastectomy40
Melanoma (skin cancer) excision74
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08493ROKMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gladney Marler & Associates ,LLC CurrentSince Jan 1, 2007 Accepting new patients
WK Surgical Consultants PastSince Jan 1, 2007 Accepting new patients

Locations

1801 Fairfield Ave
Ste 306
Shreveport, LA 71101
Phone (318) 221-2707

8001 Youree Dr
Ste 840
Shreveport, LA 71115
Phone (318) 795-9100

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1396701793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DRIVE",
            "address_2": "SUITE 840",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-795-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DRIVE",
            "address_2": "SUITE 840",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-795-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "KEVIN",
        "middle_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "OK",
            "license": "08493R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698873",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.