NPIMap

Individual provider Active NPI

Henry C. Marquez, M.D.

  • Cardiovascular Disease Physician
  • Sedalia, MO
National Provider Identifier
1700803756
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MO103636 Issued in MO
Practice address
3700 W 10TH St
Suite 200
Sedalia, MO 65301-2540
Phone
(660) 827-1771
Fax
(660) 827-1422
NPI assigned
Jul 16, 2006
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MO103636 MO Primary

Addresses

Primary practice location

3700 W 10TH St
Suite 200
Sedalia, MO 65301-2540

Mailing address

1605 E Broadway
Suite 300
Columbia, MO 65201-8023
Phone (573) 256-7700

Other identifiers 1

IdentifierTypeStateIssuer
204797104MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address henry.marquez@mcs.direct.gemmsnet.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071207000201 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385733880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BRHCGroup PAC ID 6608049697, 8 clinicians
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

3700 W 10TH St
Sedalia, MO 65301-2540
Phone (660) 827-1771

601 E 14TH St
Sedalia, MO 65301-5972

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MO103636MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bothwell Regional Health Center CurrentSince Jul 25, 2000 Accepting new patients
Bothwell Regional Health Center Current Accepting new patients
Bothwell Regional Health Center CurrentSince Jul 25, 2000 Accepting new patients
BRHC Cardiovascular Disease CurrentSince Sep 1, 2011 Accepting new patients
Missouri Cardiovascular Specialists Cardiovascular Disease Past Accepting new patients

Locations

1605 E Broadway
Ste 300
Columbia, MO 65201
Phone (573) 256-7700

3700 W 10th St
Ste 200
Sedalia, MO 65301
Phone (660) 827-1771

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/gemms-mis01

Organizations & group practices 6

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1700803756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-256-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 10TH ST",
            "address_2": "SUITE 200",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012540",
            "telephone_number": "660-827-1771",
            "fax_number": "660-827-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "HENRY",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "MO103636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204797104",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "henry.marquez@mcs.direct.gemmsnet.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging Address",
            "address_1": "3700 W 10th St",
            "address_2": "Suite 200",
            "city": "Sedalia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "653012540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.