NPIMap

Individual provider Active NPI

John P Marenco, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Springfield, MA
National Provider Identifier
1669441374
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
157824 Issued in MA
Practice address
300 Stafford St Ste 154
Springfield, MA 01104-3583
Phone
(413) 748-7095
Fax
(413) 733-5604
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 157824 MA
Clinical Cardiac Electrophysiology Physician 207RC0001X 157824 MA Primary

Addresses

Primary practice location

300 Stafford St Ste 154
Springfield, MA 01104-3583

Mailing address

2 Medical Center Dr
Suite 410
Springfield, MA 01107-1270
Phone (413) 781-5735

Other identifiers 1

IdentifierTypeStateIssuer
0190471MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmarenco6773@direct.riverbendmedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040916000996 MA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0547237612 Reassigns benefits to 2 organizations
I20201214000364 CT Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0547237612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Valley Cardiology Associates, IncGroup PAC ID 7618128794, shared by 2 NPIs, 24 clinicians

Practice addresses (Care Compare)

300 Stafford St
Suite 154
Springfield, MA 01104-3583
Phone (413) 748-7095

9 Cranbrook Blvd
FL 2
Enfield, CT 06082-3889
Phone (413) 748-7095

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc CurrentSince Aug 8, 2000 Accepting new patients
Pioneer Valley Cardiology Associates ,Inc. Cardiovascular Disease CurrentSince Oct 1, 2012 Accepting new patients
Pioneer Valley Cardiology, P.C. Cardiovascular Disease Current Accepting new patients
Pioneer Valley Cardiology Associates, Inc CurrentSince Oct 1, 2012 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

9 Cranbrook Blvd
Fl 2
Enfield, CT 06082
Phone (860) 242-8591

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

2 Medical Center Dr
Ste 510
Springfield, MA 01107

2 Medical Center Dr
Ste 410
Springfield, MA 01107
Phone (413) 781-5735

300 Stafford St
Ste 101
Springfield, MA 01104
Phone (413) 732-1928

300 Stafford St
Ste 154
Springfield, MA 01104
Phone (413) 748-7095

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

300 Stafford St
Springfield, MA 01104
Phone (413) 737-1600

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

299 Carew St
Ste 310
Springfield, MA 01104
Phone (413) 732-1928

Interoperability endpoints

  • Direct secure messaging: jmarenco2367062@direct.trinity-health.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 10

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1669441374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "SUITE 410",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071270",
            "telephone_number": "413-781-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST STE 154",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043583",
            "telephone_number": "413-748-7095",
            "fax_number": "413-733-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENCO",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "157824",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MA",
            "license": "157824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190471",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmarenco6773@direct.riverbendmedical.com",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "300 Stafford St Ste 154",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011043583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.