Active NPI
Chris Marukos, D.P.M.
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1689619777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC003264L
- Practice address
- 8410 Bustleton Ave
Suite 3
Philadelphia, PA 19152-1924 - Phone
- (215) 464-3600
- Fax
- (215) 220-3437
- NPI assigned
- Jun 20, 2006
- Last updated
- Aug 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003264L | PA | Primary |
Addresses
Primary practice location
8410 Bustleton Ave
Suite 3
Philadelphia, PA 19152-1924
Mailing address
8410 Bustleton Ave
Suite 3
Philadelphia, PA 19152-1924
Phone (215) 464-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041134493 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091028000239 | PA | Practitioner - Podiatry | 6709923519 | Practice locations: Abington, PA; Dresher, PA; Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1355 Old York Rd
Suite 201
Abington, PA 19001-3413
Phone (215) 464-3600
8410 Bustleton Ave
Suite 3
Philadelphia, PA 19152-1924
Phone (215) 464-3600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 55 |
| Removal of nail tissue | 19 |
| Removal or shaving of skin growth | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC003264L | PA | MD | Podiatrist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1689619777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8410 BUSTLETON AVE",
"address_2": "SUITE 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191521924",
"telephone_number": "215-464-3600",
"fax_number": "215-220-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8410 BUSTLETON AVE",
"address_2": "SUITE 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191521924",
"telephone_number": "215-464-3600",
"fax_number": "215-220-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUKOS",
"first_name": "CHRIS",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003264L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041134493",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.