Active NPI
Mark Jude Marino, MD
- Gastroenterology Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 024818
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1576026 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040618001328 | LA | Practitioner - Gastroenterology | 8426033044 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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
Practice addresses (Care Compare)
4224 Houma Blvd
Suite 400
Metairie, LA 70006-2937
Phone (504) 456-8020
Hospital & facility affiliations
- East Jefferson General Hospital
- West Jefferson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 74 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024818 | LA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| East Jefferson Physicians Group LLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants PLLC | Gastroenterology | Current | Accepting new patients |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | 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.
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
Gastroenterology, LA
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
LA
-
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
- Gastroenterology Physician
- Thibodaux, LA
- NPI 1154837391
Gastroenterology
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
-
- Rural Health Clinic/Center
- Greensburg, LA
- NPI 1003865619
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1942256383
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
Gastroenterology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.