Individual provider Active NPI

Marcelo Cordeiro Targino, MD

  • Hospitalist Physician
  • Exeter, NH
National Provider Identifier
1821054362
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD448185 Issued in PA
Practice address
5 Alumni Dr
3Rd Floor
Exeter, NH 03833-2128
Phone
(603) 580-7525
Fax
(603) 580-7542
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13520 NH
Internal Medicine Physician 207R00000X 215541 MA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 215541 MA
Hospitalist Physician 208M00000X MD448185 PA Primary
Hospitalist Physician 208M00000X 13520 NH

Addresses

Primary practice location

5 Alumni Dr
3Rd Floor
Exeter, NH 03833-2128

Mailing address

PO Box 829641
Philadelphia, PA 19182-0001
Phone (267) 370-5296

Other identifiers 1

IdentifierTypeStateIssuer
30206838MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200623002611 PA Practitioner - HospitalistPractitioner - Preventive Medicine 2365421666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Preventive Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Via AffiliatesGroup PAC ID 1759295512, 180 clinicians
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians

Practice addresses (Care Compare)

595 W State St
Doylestown, PA 18901-2554
Phone (215) 345-2885

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Specialty Associates CurrentSince Feb 1, 2026 Accepting new patients
Via Affiliates CurrentSince Jul 1, 2020 Accepting new patients
Via Affiliates Current Accepting new patients
Clinical Specialty Associates CurrentSince Feb 1, 2026 Accepting new patients
Via Affiliates CurrentSince Jul 1, 2020 Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

Organizations & group practices 7

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1821054362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820001",
            "telephone_number": "267-370-5296",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DR",
            "address_2": "3RD FLOOR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-7525",
            "fax_number": "603-580-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARGINO",
        "first_name": "MARCELO",
        "middle_name": "CORDEIRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "13520",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "215541",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MA",
            "license": "215541",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD448185",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "13520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206838",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.