Individual provider Active NPI

Martin Marak, M.D.

  • Cardiovascular Disease Physician
  • Baton Rouge, LA
National Provider Identifier
1760923064
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
310099 Issued in LA
Practice address
7777 Hennessy Blvd Ste 1000
Baton Rouge, LA 70808-4370
Phone
(225) 767-3900
Fax
(225) 765-9196
NPI assigned
Mar 20, 2017
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LA
Internal Medicine Physician 207R00000X 310299 LA
Cardiovascular Disease Physician 207RC0000X 310099 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 1000
Baton Rouge, LA 70808-4370

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 767-3900

Other practice location 1

847 Prospect St
Shreveport, LA 71104-3025
Phone (318) 470-6124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20200611000554 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9830460476 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Louisiana State University School of Medicine in New Orleans, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7777 Hennessy Blvd
Suite 1000
Baton Rouge, LA 70808-4370

8595 Picardy Ave
Suite 202
Baton Rouge, LA 70809-3674
Phone (225) 964-5514

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310099LAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Internal Medicine CurrentSince Jul 2, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jul 2, 2024 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2020 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Baton Rouge General Physicians, Inc. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Louisiana Cardiovascular Specialists, LLC Cardiovascular Disease CurrentSince Feb 1, 2026 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2020 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Locations

6516 E Myrtle Ave
Baker, LA 70714
Phone (225) 774-7320

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5131 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 354-0120

5131 Odonovan Dr
Ste 500
Baton Rouge, LA 70808
Phone (225) 374-0031

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

7777 Hennessy Blvd
Ste 1000
Baton Rouge, LA 70808
Phone (225) 769-3900

7777 Hennessy Blvd
Ste 115
Baton Rouge, LA 70808
Phone (225) 233-1020

8415 Goodwood Blvd
Ste 202
Baton Rouge, LA 70806
Phone (225) 765-8013

8595 Picardy Ave
Ste 202
Baton Rouge, LA 70809
Phone (225) 964-5514

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

402 N Vaughan Dr
Brusly, LA 70719
Phone (225) 749-2645

31985 LA Highway 16
Ste B
Denham Springs, LA 70726
Phone (225) 767-1390

2647 S Saint Elizabeth Blvd
Ste 300
Gonzales, LA 70737
Phone (225) 647-0347

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

5000 Odonavan Blvd
Ste 307
Walker, LA 70785
Phone (225) 271-4195

Organizations & group practices 8

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1760923064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-767-3900",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084370",
            "telephone_number": "225-767-3900",
            "fax_number": "225-765-9196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "847 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711043025",
            "country_code": "US",
            "telephone_number": "318-470-6124",
            "fax_number": "318-470-6124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARAK",
        "first_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "310299",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "310099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.