NPIMap

Individual provider Active NPI

Mark D Marilley, MD

  • Gastroenterology Physician
  • Stuart, FL
National Provider Identifier
1407852353
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME157995 Issued in FL
Practice address
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone
(772) 287-5200
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DR.0067585 CO
Gastroenterology Physician 207RG0100X MD192722 OR
Gastroenterology Physician 207RG0100X 200700105 NC
Gastroenterology Physician 207RG0100X MD425171 PA
Gastroenterology Physician 207RG0100X 21764 WV
Gastroenterology Physician 207RG0100X 21216 ND
Gastroenterology Physician 207RG0100X 350085209 GA
Gastroenterology Physician 207RG0100X ME157995 FL Primary

Addresses

Primary practice location

200 SE Hospital Ave
Stuart, FL 34994-2346

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3800

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771

Other identifiers 7

IdentifierTypeStateIssuer
SZ970OtherFLMEDICARE HF
3810001403MedicaidWV
5906555MedicaidNC
2521248MedicaidOH
1011688500001MedicaidPA
144T9OtherNCBCBSNC
115206300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NC, FL, KY, KS5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040123000810 MT Practitioner - Gastroenterology 9234031105 Reassigns benefits to 1 organization
I20070606000085 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 9234031105 Reassigns benefits to 3 organizations
I20240521002353 FL Practitioner - GastroenterologyPractitioner - Hospitalist 9234031105 Reassigns benefits to 1 organization
I20260330002384 KY Practitioner - Gastroenterology 9234031105 Reassigns benefits to 1 organization
I20260420002014 KS Practitioner - GastroenterologyPractitioner - Internal Medicine 9234031105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Hospitalist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

1700 Ring Rd
Elizabethtown, KY 42701-9497
Phone (270) 769-5551

2700 Healing Way
Wesley Chapel, FL 33543-5453

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350085209GAMDGastroenterology Physician
200700105NCMDGastroenterology Physician
21216NDMDGastroenterology Physician
MD425171PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Aug 1, 2007 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
East Carolina University Current Accepting new patients
Billings Clinic CurrentSince May 17, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
NHCS Physicians Inc CurrentSince Jun 6, 2025 Accepting new patients
Florida Hospital Physician Group Inc Gastroenterology CurrentSince Apr 18, 2025 Accepting new patients
Billings Clinic Gastroenterology CurrentSince May 17, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 18, 2018 Accepting new patients
Riverside Medical Inc. Past Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients
Riverside Medical Inc Gastroenterology Past Accepting new patients

Locations

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

2831 Fort Missoula Rd
#2
Missoula, MT 59804
Phone (406) 327-3975

2831 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-3880

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

2310 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 847-6611

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

313 Airport Rd
Kinston, NC 28504
Phone (252) 559-2200

701 Doctors Dr
Ste N
Kinston, NC 28501
Phone (252) 559-2200

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mmarilley2499292@direct.ccf.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1407852353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE HOSPITAL AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942346",
            "telephone_number": "772-287-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Three Springs Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARILLEY",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0067585",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD192722",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "200700105",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD425171",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "21764",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ND",
            "license": "21216",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "350085209",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME157995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "SZ970",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001403",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906555",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2521248",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011688500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "144T9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115206300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.