Individual provider Active NPI

John Andrew Marakas, M.D

  • Internal Medicine Physician
  • Youngstown, OH
National Provider Identifier
1598799140
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35049381 Issued in OH
Practice address
901 Trailwood Dr
Youngstown, OH 44512-5008
Phone
(330) 726-3000
Fax
(330) 726-2612
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35049381 OH Primary

Addresses

Primary practice location

901 Trailwood Dr
Youngstown, OH 44512-5008

Mailing address

901 Trailwood Dr
Youngstown, OH 44512-5008
Phone (330) 726-3000

Other identifiers 7

IdentifierTypeStateIssuer
0630231MedicaidOH
341341025034OtherOHCARESOURCE
400884OtherOHUNITED HEALTHCARE
Q018474OtherOHHOMETOWN
000000243200OtherOHANTHEM BC/BS
Z49381OtherOHSUMMACARE
78242OtherOHHEALTH ASSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050310000184 OH Practitioner - Internal Medicine 9739133992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Rehabilitation of Ohio IncGroup PAC ID 0345159315, shared by 5 NPIs, 76 clinicians
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

656 Youngstown Warren Rd
Niles, OH 44446-4356
Phone (330) 505-1362

901 Trailwood Dr
Youngstown, OH 44512-5008
Phone (330) 726-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35049381OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

901 Trailwood Dr
#8621
Youngstown, OH 44512
Phone (330) 726-3000

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

901 Trailwood Dr
Youngstown, OH 44512
Phone (330) 726-3000

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1598799140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TRAILWOOD DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125008",
            "telephone_number": "330-726-3000",
            "fax_number": "330-726-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TRAILWOOD DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125008",
            "telephone_number": "330-726-3000",
            "fax_number": "330-726-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAKAS",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35049381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0630231",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341341025034",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "400884",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMETOWN",
            "identifier": "Q018474",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000243200",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "Z49381",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "78242",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.