Individual provider Active NPI

David Charles Marzulo, D.O.

  • Neurology Physician
  • Mesa, AZ
National Provider Identifier
1699771600
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
3228 Issued in AZ
Practice address
1919 E McKellips Rd
Ste 102
Mesa, AZ 85203-2844
Phone
(480) 834-9575
Fax
(480) 834-4497
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 3228 AZ Primary

Addresses

Primary practice location

1919 E McKellips Rd
Ste 102
Mesa, AZ 85203-2844

Mailing address

4505 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7688
Phone (480) 961-2365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090728000800 AZ Practitioner - Neurology 7214007897 Reassigns benefits to 1 organization
Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Midwestern University, Chicago College of Osteopathic Med, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Neurology P CGroup PAC ID 6507757234, 24 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

1919 E McKellips Rd
Suite 102
Mesa, AZ 85203-2855
Phone (480) 834-9575

2225 W Southern Ave
Mesa, AZ 85202-4716
Phone (623) 888-3502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3228AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Neurology P C Neurology CurrentSince Mar 23, 2026 Accepting new patients
Gilbert J. Toffol, D.O., PLLC Neurology CurrentSince Mar 23, 2026 Accepting new patients
James P. Schlichting, D.O., PLLC Neurology Past Accepting new patients
Louis H. Medved MD Neurology PastSince May 16, 2022 Accepting new patients

Locations

1134 E University Dr
Ste 114
Mesa, AZ 85203
Phone (480) 834-4860

1919 E McKellips Rd
Ste 102
Mesa, AZ 85203
Phone (480) 834-9575

4505 E Chandler Blvd
Ste 200
Phoenix, AZ 85048

Interoperability endpoints

  • Direct secure messaging: david.marzulo.1@8409.direct.athenahealth.com

Organizations & group practices 4

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1699771600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 E CHANDLER BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487688",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E MCKELLIPS RD",
            "address_2": "STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032844",
            "telephone_number": "480-834-9575",
            "fax_number": "480-834-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZULO",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "3228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.