Marley Medical Provider Group, P.a.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

MARLEY MEDICAL PROVIDER GROUP, P.A.

Practice address

2332 Galiano St FL 2
Coral Gables, FL 33134-5402

Phone

(305) 998-0713

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Vikram Deepak Bakhru, MDNPI 1396078788

Title

President

Phone

(888) 811-9064

Specialties & licenses 2

Addresses

Other names 1

• Starlight Provider Group, P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in OH, IL, MO, MI, MN, WI, NC, OR, WA, FL, MD, DC, MA, LA, TX, IN16 enrollments

Enrollment records 16

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina J Bartelt, APNP

  • Nurse Practitioner
  • Stoughton, WI
  • NPI 1447619010

  DC, FL, IL, IN, LA, MA, MD, MI, MN, MO, NC, OH, OR, TX, WA

  Medicare reassignment Care Compare group NPD
• Lawanda Lynn Martindale, APRN, NP-C

  • Family Nurse Practitioner
  • Decatur, GA
  • NPI 1346699188

  WA

  Medicare reassignment Care Compare group NPD
• Amanda Marie Simone-Belin, M.D.

  • Internal Medicine Physician
  • Inver Grove Heights, MN
  • NPI 1427444249

  MI, MO, WI

  Medicare reassignment
• Vikram Deepak Bakhru, M.D., M.B.A.

  • General Practice Physician
  • West Hollywood, CA
  • NPI 1396078788
  NPD (past) Authorized official
• Chelsea Biel, RN

  • Registered Nurse
  • Madison, WI
  • NPI 1588373732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1487301917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 GALIANO ST FL 2",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 GALIANO ST FL 2",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345402",
            "telephone_number": "305-998-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8215 SW Tualatin Sherwood Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970628620",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5960 Fairview Rd Ste 300&400",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282103102",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Alaskan Way S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042785",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S Executive Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530054216",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Minnesota St Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012269",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Pratt St Fl 8",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212023180",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Chesterfield Business Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630051271",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Baker Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422124",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 F St NW Fl 7",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200016700",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9465 Counselors Row Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462403817",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 E Renfro St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760283954",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Poydras St Ste 900",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701121282",
            "country_code": "US",
            "telephone_number": "305-998-0713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARLEY MEDICAL PROVIDER GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "BAKHRU",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_middle_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-811-9064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight Provider Group, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marjorie Zurbaran Associates Inc
• Mark & Kambour, LLC
• Mark & Kambour, LLC
• Mark and Kambour MD PA
• Thomas Mark, MD
• Kayla Marmaros, PHD, MS, LMHC
• Sarah Marmol
• Mabel Marotta, M.D.
• Ana V. Marques, DOM, A.P.
• Marquez & Bengochea

• Adult Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.