NPIMap

Individual provider Active NPI

Joseph Charles Marrazzo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Alexandria, LA
National Provider Identifier
1720491533
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
311799 Issued in LA
Practice address
211 4TH St
Alexandria, LA 71301
Phone
(318) 769-3219
NPI assigned
Jun 9, 2014
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11017753A IN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 311799 LA Primary

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301

Mailing address

PO Box 3780
Tupelo, MS 38803-3780

Other practice location 1

350 W 11th St
Indianapolis, IN 46202-4108
Phone (317) 491-6213

Other practice location 2

211 4th St
Alexandria, LA 71301
Phone (318) 769-3219

Other identifiers 1

IdentifierTypeStateIssuer
2500031MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20190611000302 LA Practitioner - Pathology 1355631300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Louisiana State University School of Medicine in Shreveport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5339 Odonovan Dr
Baton Rouge, LA 70808-4388
Phone (225) 766-4999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
81.19
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311799LAMDAnatomic Pathology & Clinical Pathology Physician
11017753AINMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Group of Louisiana, a Professional Medical Corporation Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2021 Accepting new patients
Pathology Group of Louisiana, a Professional Medical Corporation Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2021 Accepting new patients
Woman's Specialty Clinic Past Accepting new patients

Locations

5339 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 766-4999

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1720491533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3780",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-769-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W 11th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462024108",
            "country_code": "US",
            "telephone_number": "317-491-6213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 4th St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "71301",
            "country_code": "US",
            "telephone_number": "318-769-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRAZZO",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11017753A",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "311799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2500031",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.