NPIMap

Individual provider Active NPI

Mark John Marzano, MD

  • Diagnostic Radiology Physician
  • Naples, FL
National Provider Identifier
1467471235
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME81325 Issued in FL
Practice address
1350 Tamiami TRL N
Ste 101
Naples, FL 34102-5209
Phone
(239) 430-4674
Fax
(239) 659-6530
NPI assigned
Jul 19, 2006
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X ME81325 FL
Diagnostic Radiology Physician 2085R0202X ME81325 FL Primary

Addresses

Primary practice location

1350 Tamiami TRL N
Ste 101
Naples, FL 34102-5209

Mailing address

2338 Immokalee Rd
Suite 116
Naples, FL 34110-1445
Phone (239) 430-4674

Other identifiers 2

IdentifierTypeStateIssuer
51707OtherFLBCBS PROVIDER
260090100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070926001157 FL Practitioner - Vascular SurgeryPractitioner - Interventional Pain ManagementPractitioner - Other (Physician)Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6406953231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Interventional Pain Management, Interventional Radiology
Education
Rush Medical College of Rush University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 9TH St N
Suite 204
Naples, FL 34102-5209
Phone (239) 430-8346

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Care Specialists of South Florida, Inc CurrentSince Apr 1, 2011 Accepting new patients
American Radiology Services Banyan Center, LLC Diagnostic Radiology Past Accepting new patients
American Radiology Services Banyan Center, LLC Diagnostic Radiology Past Accepting new patients
American Radiology Services Banyan Center, LLC Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Veins Care Specialists of South Florida PastSince Apr 1, 2011 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

1350 Tamiami Trl N
Ste 204
Naples, FL 34102
Phone (239) 430-8346

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1467471235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD",
            "address_2": "SUITE 116",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "239-430-4674",
            "fax_number": "239-430-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TAMIAMI TRL N",
            "address_2": "STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025209",
            "telephone_number": "239-430-4674",
            "fax_number": "239-659-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZANO",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-02-02",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "ME81325",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME81325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "51707",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260090100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.