Individual provider Active NPI

Angela Marko, D.O.

  • Pediatric Pulmonology Physician
  • Norfolk, VA
National Provider Identifier
1538570130
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
0102208456 Issued in VA
Practice address
601 Childrens LN
Norfolk, VA 23507-1910
Phone
(757) 668-7000
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102208456 VA
Pediatric Pulmonology Physician 2080P0214X 0102208456 VA Primary

Addresses

Primary practice location

601 Childrens LN
Norfolk, VA 23507-1910

Mailing address

PO Box 11049
Norfolk, VA 23517-0049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180806003194 OH Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 3577811660 Reassigns benefits to 2 organizations
I20240611003203 VA Practitioner - Pediatric Medicine 3577811660 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102208456VAMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince May 1, 2021 Accepting new patients
The Metrohealth System Pediatrics CurrentSince May 1, 2021 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Jul 16, 2018 Accepting new patients
The Metrohealth System Current Accepting new patients
Childrens Specialty Group PLLC Pediatrics CurrentSince Jun 1, 2024 Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

500 Discovery Dr
Chesapeake, VA 23320
Phone (757) 668-2311

601 Childrens Ln
Fl 2
Norfolk, VA 23507
Phone (757) 668-7214

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673

Interoperability endpoints

  • Direct secure messaging: amarko207180@direct.metrohealth.org
  • Direct secure messaging: amarko36646@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1538570130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11049",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235170049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKO",
        "first_name": "ANGELA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102208456",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "VA",
            "license": "0102208456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.