Individual provider Active NPI

Marilyn Ann Marquez, MD

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1578021267
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME151543 Issued in FL
Practice address
7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone
(561) 515-1500
Fax
(305) 326-6306
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME151543 FL Primary
Ophthalmology Physician 207W00000X 0116032410 VA

Addresses

Primary practice location

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701

Mailing address

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (561) 515-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210809000052 FL Practitioner - Ophthalmology 3971833856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians

Practice addresses (Care Compare)

4120 Del Prado Blvd S
Cape Coral, FL 33904-7165
Phone (239) 542-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151543FLMDOphthalmology Physician
0116032410VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jun 29, 2021 Accepting new patients
University of Miami Ophthalmology CurrentSince Jun 29, 2021 Accepting new patients
Cape Coral Eye Center, P.a. CurrentSince Jul 1, 2022 Accepting new patients
Cape Coral Eye Center, P.a. Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
University of Miami Current Accepting new patients

Locations

4120 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 542-3020

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1325 NW 14TH St
Umhcuhealth Tower
Miami, FL 33125

1201 NW 16th St
Miami, FL 33125
Phone (305) 575-3150

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2640 Golden Gate Pkwy
Ste 113
Naples, FL 34105
Phone (239) 908-4098

7101 Fairway Dr
West Palm Beach, FL 33418
Phone (561) 515-1500

Interoperability endpoints

  • Direct secure messaging: mmarquez1@tysoneye.imwdirect.com

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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1578021267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "305-326-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "305-326-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "MARILYN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME151543",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0116032410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.