NPIMap

Individual provider Active NPI

Rafael Jorge Marrero, MD

  • Otolaryngology Physician
  • Conway, AR
National Provider Identifier
1437152329
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E-1292 Issued in AR
Practice address
2200 Ada Ave
Suite 202
Conway, AR 72034
Phone
(501) 327-3929
Fax
(501) 329-3816
NPI assigned
May 24, 2005
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X J2960 TX
Otolaryngology Physician 207Y00000X E-1292 AR Primary

Addresses

Primary practice location

2200 Ada Ave
Suite 202
Conway, AR 72034

Mailing address

2200 Ada Ave
Suite 202
Conway, AR 72034
Phone (501) 327-3929

Other names 1

  • Dr. Ralph J Marrero Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090926000082 AR Practitioner - Otolaryngology 7315093770 Reassigns benefits to 1 organization
I20241001001816 NE Practitioner - Otolaryngology 7315093770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Arkansas Ear Nose and Throat ClinicGroup PAC ID 1951466614, 2 clinicians

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5825

2200 Ada Ave
Suite 202
Conway, AR 72034-4984
Phone (501) 327-3929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-1292ARMDOtolaryngology Physician
J2960TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Sleep Health, LLC CurrentSince Jun 12, 2017 Accepting new patients
Central Arkansas Ear Nose & Throat Clinic Otolaryngology CurrentSince Sep 1, 2009 Accepting new patients
Cheyenne County Hospital Association Inc CurrentSince Sep 16, 2024 Accepting new patients
Cheyenne County Hospital Association CurrentSince Sep 16, 2024 Accepting new patients

Locations

2200 Ada Ave
Ste 202
Conway, AR 72034
Phone (501) 327-3929

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

Organizations & group practices 4

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 7

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1437152329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ADA AVE",
            "address_2": "SUITE 202",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-3929",
            "fax_number": "501-329-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ADA AVE",
            "address_2": "SUITE 202",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-3929",
            "fax_number": "501-329-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "RAFAEL",
        "middle_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J2960",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "E-1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALPH",
            "last_name": "MARRERO",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.