Individual provider Active NPI

Robert Edward Marinaro, MD

  • Dermatology Physician
  • McKinney, TX
National Provider Identifier
1790865970
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P3388 Issued in TX
Practice address
5971 Virginia Pkwy
Suite 100
McKinney, TX 75071-5539
Phone
(972) 542-4646
Fax
(972) 542-0909
NPI assigned
Oct 16, 2006
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X P3388 TX Primary

Addresses

Primary practice location

5971 Virginia Pkwy
Suite 100
McKinney, TX 75071-5539

Mailing address

5971 Virginia Pkwy
Suite 100
McKinney, TX 75071-5539
Phone (972) 542-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121017000110 TX Practitioner - Dermatology 9537114137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

815 Pecan Grove Rd E
Sherman, TX 75090-1768
Phone (903) 892-2126

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1118
Removal or shaving of skin growth1-10
Skin biopsy274

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Feb 1, 2021 Accepting new patients
Nicole Reed Medical, PLLC Dermatology Past Accepting new patients
Edward E. Rotan, Jr., MD, P.a. Dermatology Past Accepting new patients

Locations

6117 Berkshire Ln
Dallas, TX 75225
Phone (214) 373-3376

4701 Medical Center Dr
Ste 1B
McKinney, TX 75069
Phone (729) 985-9003

3435 Pine Mill Rd
Paris, TX 75460
Phone (903) 785-7410

5030 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (972) 945-3854

5044 Tennyson Pkwy
Ste B
Plano, TX 75024
Phone (972) 378-4104

3600 Shire Blvd
Ste 210
Richardson, TX 75082
Phone (469) 326-3376

815 Pecan Grove Rd E
Sherman, TX 75090
Phone (903) 892-2126

910 Pecan Grove Rd E
Sherman, TX 75090
Phone (903) 892-2126

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • Direct secure messaging: rmarinaro@conger.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1790865970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 VIRGINIA PKWY",
            "address_2": "SUITE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715539",
            "telephone_number": "972-542-4646",
            "fax_number": "972-542-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 VIRGINIA PKWY",
            "address_2": "SUITE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715539",
            "telephone_number": "972-542-4646",
            "fax_number": "972-542-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINARO",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P3388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.