Individual provider Active NPI

Joseph Marino, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Artesia, NM
National Provider Identifier
1679545172
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
333 Issued in NM
Practice address
612 N 13TH St
Suite F
Artesia, NM 88210-1112
Phone
(575) 736-8282
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 136; ANKLE LIC 14 MT
Foot & Ankle Surgery Podiatrist 213ES0103X 333 NM Primary

Addresses

Primary practice location

612 N 13TH St
Suite F
Artesia, NM 88210-1112

Mailing address

PO Box 629
Artesia, NM 88211-0629
Phone (575) 832-8282

Other identifiers 3

IdentifierTypeStateIssuer
000014881OtherMTBLUE CROSS BLUE SHIELD
480024176OtherMEDICARE RAILROAD
1679545172MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address podiatrygroup@artesiageneral.hin.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000431 NM Practitioner - Podiatry 8527954007 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
136MTMDProfessional Counselor
333NMMDOccupational Vision Optometrist
136; ANKLE LIC 14MTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince Jan 10, 2011 Accepting new patients
Artesia General Hospital CurrentSince Jan 10, 2011 Accepting new patients
Clayton Health Systems Inc Current Accepting new patients
Artesia General Hospital Current Accepting new patients
Southwestern Regional Medical Center Past Accepting new patients

Locations

712 N 13TH St
Artesia, NM 88210
Phone (575) 748-8000

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

612 N 13th St
Ste F
Artesia, NM 88210
Phone (505) 748-8310

612 N 13th St
Ste J
Artesia, NM 88210
Phone (505) 746-3119

612 N 13th St
Ste B
Artesia, NM 88210
Phone (505) 746-3119

712 N 13TH St
Artesia, NM 88210

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

300 Wilson St
Clayton, NM 88415
Phone (575) 374-2585

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1679545172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882110629",
            "telephone_number": "575-832-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 13TH ST",
            "address_2": "SUITE F",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101112",
            "telephone_number": "575-736-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "136; ANKLE LIC 14",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000014881",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480024176",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679545172",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "podiatrygroup@artesiageneral.hin.us",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "612 N 13th St Ste J",
            "city": "Artesia",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882101167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.