Individual provider Active NPI

Indira M Marmolejos, M.D.

  • Infectious Disease Physician
  • Delray Beach, FL
National Provider Identifier
1659535987
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME99093 Issued in FL
Practice address
6238 W Atlantic Ave
Suite 2
Delray Beach, FL 33484-3501
Phone
(561) 404-9845
Fax
(561) 404-9849
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME99093 FL Primary

Addresses

Primary practice location

6238 W Atlantic Ave
Suite 2
Delray Beach, FL 33484-3501

Mailing address

2605 W Atlantic Ave Ste D101
Delray Beach, FL 33445-4414
Phone (561) 404-9845

Other identifiers 1

IdentifierTypeStateIssuer
ME99093OtherFLLICENSURE

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
I20090817000717 FL Practitioner - Infectious Disease 2365596988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indira Marmolejos MD PAGroup PAC ID 4789852567, 2 clinicians

Practice addresses (Care Compare)

2605 W Atlantic Ave
Delray Beach, FL 33445-4414
Phone (561) 404-9845

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Haven Home Health Care Home health agency, Boca Raton, FL, CCN 103153
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indira Marmolejos MD PA Infectious Disease CurrentSince Dec 25, 2010 Accepting new patients
Ernesto R Montesino MD PA Infectious Disease Past Accepting new patients

Locations

6238 Atlantic Ave
Ste 2
Delray Beach, FL 33484
Phone (561) 404-9845

16244 S Military Trl
Ste 750
Delray Beach, FL 33484
Phone (561) 265-5251

2605 W Atlantic Ave
Ste D101
Delray Beach, FL 33445
Phone (561) 279-0991

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 4

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1659535987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W ATLANTIC AVE STE D101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454414",
            "telephone_number": "561-404-9845",
            "fax_number": "561-404-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 W ATLANTIC AVE",
            "address_2": "SUITE 2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334843501",
            "telephone_number": "561-404-9845",
            "fax_number": "561-404-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOLEJOS",
        "first_name": "INDIRA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME99093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "ME99093",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.