Michael J Marcus, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E1928 Issued in CA

Practice address

101 E Beverly Blvd
Suite 205
Montebello, CA 90640-4315

Phone

(323) 724-6663

Fax

(323) 724-5816

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Professional Corporation Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kevin J Pelton MD IncGroup PAC ID 3375625486, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kna Home Health, Inc Home health agency, Mission Hills, CA, CCN 059573
• Greater El Monte Community Hospital Hospital, South El Monte, CA, CCN 050738

Procedures performed for Medicare patients

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.

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kevin J. Pelton MD, Inc.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1679771703
  Medicare reassignment Care Compare group NPD
• Kevin J Pelton MD Inc

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
  • NPI 1710764576

  Orthopaedic Surgery

  NPD
• Coast Plaza Doctors Hospital

  • General Acute Care Hospital
  • Norwalk, CA
  • NPI 1669429221
  NPD (past)
• Kevin J. Pelton MD, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Santa Fe Springs, CA
  • NPI 1821711870

  Orthopaedic Surgery

  NPD (past)

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

• Ahmc Greater El Monte Community

  • General Acute Care Hospital
  • South El Monte, CA
  • NPI 1346232881
  Care Compare affiliation
• Kna Home Health, Inc

  • Home Health Agency
  • Mission Hills, CA
  • NPI 1467734830
  Care Compare affiliation

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1720064165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "STE 205",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404315",
            "telephone_number": "323-724-6663",
            "fax_number": "323-724-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "SUITE 205",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404315",
            "telephone_number": "323-724-6663",
            "fax_number": "323-724-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720064165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "CORPORATION",
            "middle_name": "PROFESSIONAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emmanuel Manalo, PT
• Prabhat S Manchanda, MD
• Benjamin Mandel, M.D
• Marc 1 Drugs Inc
• Marc 1 Drugs Inc
• Maria Cristina Zamora Montebello Optometry
• Maria Esther Salado, O.D., Inc.
• Catherine Ramos Marin, NURSE PRACTITIONER
• Nicole Marin
• Miguel Mariona

• Podiatrist in Montebello, CA
• Providers in Montebello, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.

Verify at the official NPI Registry.