Individual provider Active NPI

Matthew Anthony Marino, MD

  • Otolaryngology Physician
  • Chesterfield, MO
National Provider Identifier
1639497829
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2015011432 Issued in MO
Practice address
226 S Woods Mill Rd
37W
Chesterfield, MO 63017-3662
Phone
(314) 523-5300
Fax
(314) 434-3191
NPI assigned
May 12, 2010
Last updated
May 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2015011432 MO Primary

Addresses

Primary practice location

226 S Woods Mill Rd
37W
Chesterfield, MO 63017-3662

Mailing address

226 S Woods Mill Rd
37W
Chesterfield, MO 63017-3662
Phone (314) 523-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150615001325 MO Practitioner - Otolaryngology 4385955590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
St. Louis College of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

Practice addresses (Care Compare)

1010 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone (314) 729-0077

12855 N 40 Dr
125 Neurosurgery of St Louis
Saint Louis, MO 63141-8663
Phone (314) 806-1770

12855 N 40 Dr
Arch Cancer Care
Saint Louis, MO 63141-8622
Phone (314) 523-5444

226 S Woods Mill Rd
37W Sound Health Services
Chesterfield, MO 63017-3442
Phone (314) 523-5300

4651 Hwy K
O Fallon, MO 63368-8690
Phone (314) 722-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.65 of 100Reported as individual
Quality
72.09
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.16 of 100Reported as group
Quality
55.68
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Urology of St. Louis, Inc. Past Accepting new patients

Locations

226 S Woods Mill Rd
Ste 37W
Chesterfield, MO 63017
Phone (314) 434-1400

501 W Pine St
Farmington, MO 63640
Phone (573) 756-8888

4651 Highway K
O Fallon, MO 63368
Phone (314) 523-5300

1010 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 238-2535

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

Interoperability endpoints

  • Direct secure messaging: mmarino134837@direct.carenet.org
  • Direct secure messaging: mmarino147273@direct-ehr-ssmhc.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1639497829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "37W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-523-5300",
            "fax_number": "314-434-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "37W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-523-5300",
            "fax_number": "314-434-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2015011432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.