Individual provider Active NPI

McKay C Marler, MD

  • Pediatrics Physician
  • Loveland, CO
National Provider Identifier
1629163183
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
44578 Issued in CO
Practice address
2555 E 13TH St
Big Thompson Med Group PC Loveland Pediatrics Suite 103
Loveland, CO 80537
Phone
(970) 663-5437
Fax
(970) 663-5762
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 44578 CO Primary

Addresses

Primary practice location

2555 E 13TH St
Big Thompson Med Group PC Loveland Pediatrics Suite 103
Loveland, CO 80537

Mailing address

1627 E 18TH St
Loveland, CO 80538-4209
Phone (970) 663-0135

Other identifiers 3

IdentifierTypeStateIssuer
TEP4909OtherNELICENSE
35005238MedicaidCO
44578OtherCOLICENSE

Other names 1

  • KC Marler Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20101103001024 CO Practitioner - Pediatric Medicine 4385838366 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44578COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Aug 1, 2012 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Aug 1, 2012 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Mar 1, 2020 Accepting new patients
Big Thompson Medical Group Inc Pediatrics Past Accepting new patients
Banner Health Past Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629163183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 E 18TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384209",
            "telephone_number": "970-663-0135",
            "fax_number": "970-461-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST",
            "address_2": "BIG THOMPSON MED GROUP PC LOVELAND PEDIATRICS SUITE 103",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80537",
            "telephone_number": "970-663-5437",
            "fax_number": "970-663-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "MCKAY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "44578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TEP4909",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35005238",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "44578",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KC",
            "last_name": "MARLER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.