Individual provider Active NPI

Marvell Saint-Victor, MD

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1821452947
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2022-0899 Issued in NM
Practice address
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone
(505) 272-2321
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E-14301 AR
Diagnostic Radiology Physician 2085R0202X 2022040061 MO
Diagnostic Radiology Physician 2085R0202X MD2022-0899 NM Primary

Addresses

Primary practice location

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476

Other practice location 1

4301 W Markham St # 556
Little Rock, AR 72205-7101
Phone (501) 686-6033

Other practice location 2

One Hospital Dr
Columbia, MO 65212-0001
Phone (573) 884-7770

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address SRMC@direct.health.unm.edu
Direct Messaging Address UNMH@direct.health.unm.edu
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri
Direct Messaging Address UNMCCC@direct.health.unm.edu
Direct Messaging Address UNMMG@direct.health.unm.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NM, MO, NV, MD, DC, KY, LA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20210830002767 AR Practitioner - Diagnostic Radiology 0244525608 Reassigns benefits to 2 organizations
I20220816001824 NM Practitioner - Diagnostic Radiology 0244525608 Reassigns benefits to 4 organizations
I20221022000194 MO Practitioner - Diagnostic Radiology 0244525608 Reassigns benefits to 1 organization
I20240604002102 NV Practitioner - Diagnostic Radiology 0244525608 Reassigns benefits to 2 organizations
I20241219002237 MD Practitioner - Diagnostic Radiology 0244525608 Reassigns benefits to 1 organization
I20250702003946 DC Practitioner - Diagnostic Radiology 0244525608 Reassigns benefits to 1 organization
I20251103003260 KY Practitioner - Diagnostic Radiology 0244525608 Reassigns benefits to 1 organization
I20260514001769 LA Practitioner - Diagnostic Radiology 0244525608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians
Unm Medical Group IncGroup PAC ID 4981795267, 1,052 clinicians
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

11245 Lompoc CT
Las Vegas, NV 89135-1404
Phone (412) 230-8200

121 E Robindale Rd
Las Vegas, NV 89123-1116
Phone (412) 230-8200

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111

4301 W Markam St
Little Rock, AR 72205-7101

5 Garrett Ave
La Plata, MD 20646-5960
Phone (843) 237-3164

5244 Molokai Ave NE
Albuquerque, NM 87111-1942
Phone (843) 237-3164

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007
  • Unm Hospital Hospital, Albuquerque, NM, CCN 320001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Unm Medical Group Inc CurrentSince Jul 28, 2022 Accepting new patients
University of Louisville Phyisicians, Inc. CurrentSince Sep 22, 2025 Accepting new patients
University of Arkansas for Medical Sciences Diagnostic Radiology CurrentSince Jul 9, 2021 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jul 28, 2022 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Jul 9, 2021 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Mar 3, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Apr 18, 2024 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Jul 9, 2021 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Apr 18, 2024 Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients

Locations

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Ste 528
Little Rock, AR 72205

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#528
Little Rock, AR 72205
Phone (501) 614-2006

4301 W Markham St
#556
Little Rock, AR 72205
Phone (501) 296-1095

7752 Solution Ctr
Chicago, IL 60677

8607 E US Highway 36
Ste 200
Avon, IN 46123
Phone (317) 569-5855

3802 W Industrial Blvd
Ste 4
Bloomington, IN 47403
Phone (812) 331-7727

10206 Lantern Rd
Fishers, IN 46037
Phone (317) 598-1133

521 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 882-9422

7151 Marsh Rd
#100
Indianapolis, IN 46278
Phone (317) 580-5880

1250 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 899-7980

3738 Landmark Dr
Ste D
Lafayette, IN 47905
Phone (765) 449-7984

4313 S 7th St
Terre Haute, IN 47802
Phone (812) 234-0555

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

7150 Contee Rd
Laurel, MD 20707
Phone (240) 677-7200

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

1201 Camino de Salud NE
Albuquerque, NM 87102
Phone (505) 272-4443

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

6400 Brooktree Ct
Ste 350
Wexford, PA 15090
Phone (724) 935-5557

Organizations & group practices 14

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.

View all 14

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1821452947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BRADBURY DR SE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064310",
            "telephone_number": "505-272-1476",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062719",
            "telephone_number": "505-272-2321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 556",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-6033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-884-7770",
            "fax_number": "573-882-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAINT-VICTOR",
        "first_name": "MARVELL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-14301",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2022040061",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2022-0899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SRMC@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "3001 Broadmoor Blvd NE",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871442100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "One Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652120001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMCCC@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "1201 Camino De Salud NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871024517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMMG@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "800 Bradbury Dr SE Ste 116",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871064310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.