Individual provider Active NPI

Charlotte Lucine Marous, M.D.

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1659802726
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD479679 Issued in PA
Practice address
840 Walnut St Ste 910
Philadelphia, PA 19107-5109
Phone
(215) 928-3250
Fax
(215) 928-3276
NPI assigned
Mar 21, 2017
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 MD479679 PA Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD479679 PA

Addresses

Primary practice location

840 Walnut St Ste 910
Philadelphia, PA 19107-5109

Mailing address

840 Walnut St Ste 1230
Philadelphia, PA 19107-5109
Phone (215) 440-3160

Other practice location 1

4060 Butler Pike Ste 100
Plymouth Meeting, PA 19462-1560
Phone (215) 836-1290

Other practice location 2

520 King Rd
Paoli, PA 19301-1759
Phone (610) 644-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210702001376 NY Practitioner - Ophthalmology 0345587374 Reassigns benefits to 2 organizations
I20230515000450 PA Practitioner - Ophthalmology 0345587374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Ophthalmology CurrentSince Jul 5, 2021 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Ophthalmic Plastic Surgery,PLLC Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Albany Medical College CurrentSince Jul 5, 2021 Accepting new patients
Albany Medical College Ophthalmology CurrentSince May 22, 2023 Accepting new patients
Samuel H Galib - Opthamology Assoc PC Ophthalmology PastSince Nov 1, 2014 Accepting new patients
Glaucoma Consultants of the Capital Region,PLLC Ophthalmology PastSince Jul 1, 2021 Accepting new patients
Annesley Flanagan Fischer Stefanyszyn and Associates Ophthalmology PastSince Jun 30, 2024 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

1220 New Scotland Rd
Ste 302
Slingerlands, NY 12159
Phone (518) 533-6540

15 Vista Blvd
Slingerlands, NY 12159
Phone (518) 262-2540

520 King Rd
Paoli, PA 19301
Phone (215) 644-0600

840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 910
Philadelphia, PA 19107
Phone (215) 928-3250

4060 Butler Pike
Ste 100
Plymouth Mtng, PA 19462
Phone (215) 836-1290

Interoperability endpoints

  • Direct secure messaging: charlotte.marous.p1@direct.willseye.nextgenshare.com
  • Direct secure messaging: clmarous@tbweye.direct.eyemdemr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDBFBA

Organizations & group practices 8

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 2

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1659802726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1230",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-440-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 910",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3250",
            "fax_number": "215-928-3276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4060 Butler Pike Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621560",
            "country_code": "US",
            "telephone_number": "215-836-1290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 King Rd",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011759",
            "country_code": "US",
            "telephone_number": "610-644-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROUS",
        "first_name": "CHARLOTTE",
        "middle_name": "LUCINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD479679",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD479679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.