Active NPI
Marvin D Covrig, MD APC
- Anesthesiology Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G66650
- Practice address
- 1700 Coffee Rd
Modesto, CA 95355 - Phone
- (209) 526-4500
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G66650 | CA | Primary |
Addresses
Primary practice location
1700 Coffee Rd
Modesto, CA 95355
Mailing address
817 Coffee Rd
C3
Modesto, CA 95355
Phone (209) 529-9603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G666501 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G66650 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
Locations
521 S Ham Ln
Lodi, CA 95242
Phone (209) 333-0905
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Anesthesiology Physician
- Stockton, CA
- NPI 1538800388
-
dba Desert Region Family Medicine
- Internal Medicine Physician
- La Quinta, CA
- NPI 1841621323
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lodi Memorial Hospital
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538172986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 COFFEE RD",
"address_2": "C3",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-529-9603",
"fax_number": "209-526-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-526-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVRIG",
"first_name": "MARVIN",
"middle_name": "D",
"credential": "MD APC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G66650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G666501",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Dolores R Covarrubias, LCSW
- Covenant Care California Inc (Vintage Faire Nursing and Rehabilitation Center)
- Covenant Care California, LLC (Vintage Faire Nursing & Rehabilitation Center)
- Covenant Care California, LLC (Vintage Faire Residential)
- Alexandra Lea Cover
- Susan Lee Cowan, MFT
- Edward Cox-Cowan
- Angela Kristine Cox
- Deonae Cox
- Janice Cox
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.