Individual provider Active NPI

Eric Adam Marks, MD

  • Internal Medicine Physician
  • Beaumont, TX
National Provider Identifier
1720089790
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3325 Issued in TX
Practice address
810 Hospital Dr
Suite 300
Beaumont, TX 77701-4600
Phone
(409) 835-0905
Fax
(409) 839-4723
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3325 TX Primary

Addresses

Primary practice location

810 Hospital Dr
Suite 300
Beaumont, TX 77701-4600

Mailing address

810 Hospital Dr
Suite 300
Beaumont, TX 77701-4600
Phone (409) 835-0905

Other identifiers 3

IdentifierTypeStateIssuer
89271SOtherTXBCBS
89420KOtherTXMEDICARE PERFORMING PROVIDER
096395101MedicaidTX

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161028001217 CA Practitioner - Internal Medicine 9739085168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3325TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Sep 17, 2016 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Sep 17, 2016 Accepting new patients
Eric a. Marks, MD, PA Internal Medicine PastSince May 19, 1997 Accepting new patients

Locations

3801 Las Posas Rd
Ste 214
Camarillo, CA 93010
Phone (805) 437-0900

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1720089790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014600",
            "telephone_number": "409-835-0905",
            "fax_number": "409-839-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014600",
            "telephone_number": "409-835-0905",
            "fax_number": "409-839-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "ERIC",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89271S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PERFORMING PROVIDER",
            "identifier": "89420K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096395101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.