NPIMap

Individual provider Active NPI

Paul J Marr, MD

  • Sports Medicine (Family Medicine) Physician
  • Reading, PA
National Provider Identifier
1407854961
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
BM7144607 Issued in PA
Practice address
11 Fairlane Rd
Reading, PA 19606-9567
Phone
(610) 779-2663
Fax
(610) 779-3367
NPI assigned
Jul 8, 2005
Last updated
Apr 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X BM7144607 PA Primary

Addresses

Primary practice location

11 Fairlane Rd
Reading, PA 19606-9567

Mailing address

11 Fairlane Rd
Reading, PA 19606-9567
Phone (610) 779-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000855 PA Practitioner - Sports MedicinePractitioner - Family Practice 3779614102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Rutgers New Jersey Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

11 Fairlane Rd
Reading, PA 19606-9567
Phone (610) 779-2663

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2758 Century Blvd
Suite 2
Wyomissing, PA 19610-3358
Phone (610) 376-5646

321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as individual
Quality
64.82
Promoting interoperability
93
Improvement activities
40
Cost
59.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Orthopaedic Specialists LLC Current Accepting new patients
Keystone Orthopaedic Specialists LLC Sports Medicine CurrentSince Mar 10, 2010 Accepting new patients

Locations

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

4920 Penn Ave
Sinking Spring, PA 19608
Phone (610) 898-0674

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

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 12

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1407854961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FAIRLANE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069567",
            "telephone_number": "610-779-2663",
            "fax_number": "610-779-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FAIRLANE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069567",
            "telephone_number": "610-779-2663",
            "fax_number": "610-779-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARR",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "BM7144607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.