Individual provider Active NPI

Mark Jude Marino, MD

  • Gastroenterology Physician
  • Metairie, LA
National Provider Identifier
1497861314
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
024818 Issued in LA
Practice address
4228 Houma Blvd
Suite 520
Metairie, LA 70006-3000
Phone
(504) 456-8020
Fax
(504) 456-8021
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 024818 LA Primary

Addresses

Primary practice location

4228 Houma Blvd
Suite 520
Metairie, LA 70006-3000

Mailing address

1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072-3151
Phone (504) 349-6423

Other identifiers 1

IdentifierTypeStateIssuer
1576026MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618001328 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 8426033044 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

4224 Houma Blvd
Suite 400
Metairie, LA 70006-2937
Phone (504) 456-8020

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Upper gastrointestinal (GI) endoscopy for acid reflux115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024818LAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Dec 1, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Feb 1, 2021 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince May 1, 2022 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Feb 1, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Dec 1, 2021 Accepting new patients
University Healthcare System, LC Past Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Past Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients
St Helena Parish Hospital Past Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

1111 Medical Center Blvd
Ste S460
Marrero, LA 70072
Phone (504) 265-9582

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 456-8020

4224 Houma Blvd
Ste 400
Metairie, LA 70006
Phone (504) 456-8020

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1415 Tulane Ave
#26
New Orleans, LA 70112
Phone (504) 588-2300

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1497861314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S-450",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6423",
            "fax_number": "504-349-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 520",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-456-8020",
            "fax_number": "504-456-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "MARK",
        "middle_name": "JUDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "024818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1576026",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.