Individual provider Active NPI

Eric Sebastian Marsili, D.C.

  • Chiropractor
  • Evansville, IN
National Provider Identifier
1518285485
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002733A Issued in IN
Practice address
319 NW Martin Luther King Jr Blvd
Evansville, IN 47708-1903
Phone
(812) 423-9146
Fax
(775) 766-6516
NPI assigned
May 17, 2010
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002733A IN Primary

Addresses

Primary practice location

319 NW Martin Luther King Jr Blvd
Evansville, IN 47708-1903

Mailing address

319 NW Martin Luther King Jr Blvd
Evansville, IN 47708-1903
Phone (812) 423-9146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140603001997 IN Practitioner - Chiropractic 1951585447 Practice locations: Evansville, IN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

319 NW M L King Jr Blvd
Evansville, IN 47708-1903
Phone (812) 423-9146

915 Main St
Suite 300
Evansville, IN 47708-1855
Phone (812) 423-9146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002733AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bach Chiropractic Inc. Chiropractor Past Accepting new patients
Marcel Garcia Chiropractic LLC Past Accepting new patients

Organizations & group practices 2

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1518285485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 NW MARTIN LUTHER KING JR BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081903",
            "telephone_number": "812-423-9146",
            "fax_number": "775-766-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 NW MARTIN LUTHER KING JR BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081903",
            "telephone_number": "812-423-9146",
            "fax_number": "775-766-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSILI",
        "first_name": "ERIC",
        "middle_name": "SEBASTIAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002733A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.