Individual provider Active NPI

Roy R Marrero Jr., MD

  • Emergency Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1841249414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J9750 Issued in TX
Practice address
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone
(409) 724-7389
NPI assigned
May 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J9750 TX Primary

Addresses

Primary practice location

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Mailing address

PO Box 8730
Fort Worth, TX 76124-0730
Phone (817) 451-4208

Other identifiers 1

IdentifierTypeStateIssuer
8R9683OtherTXBLUE CROSS BLUE SHIELD

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
I20050331000060 TX Practitioner - Emergency MedicinePractitioner - Family Practice 9234186438 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Meharry Medical College School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas ER Group PLLCGroup PAC ID 4880039338, 18 clinicians

Practice addresses (Care Compare)

220 Blanco St
Suite 2
Lumberton, TX 77657-1302
Phone (409) 755-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas ER Group PLLC Emergency Medicine CurrentSince May 17, 2024 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Austin ER Associates PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Ess of Port Lavaca LLC Emergency Medicine CurrentSince Nov 6, 2019 Accepting new patients
TK Emergency Physicians Group PLLC Emergency Medicine CurrentSince Oct 15, 2019 Accepting new patients
Southeast Emergency Physician Associates, P.a. Emergency Medicine Past Accepting new patients
Texas Emergency Room Services , PA Emergency Medicine Past Accepting new patients
Apollo Physician of Texas PA Emergency Medicine Past Accepting new patients

Locations

13435 N US Highway 183
Ste 311
Austin, TX 78750
Phone (512) 614-1200

4755 Eastex Fwy
Beaumont, TX 77706
Phone (409) 924-0055

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273

1321 N 16th St
Orange, TX 77630
Phone (409) 670-9898

608 Strickland Dr
Orange, TX 77630
Phone (409) 883-1248

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

3330 Highway 365
Port Arthur, TX 77642
Phone (409) 722-9554

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

Organizations & group practices 9

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841249414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8730",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761240730",
            "telephone_number": "817-451-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-724-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "ROY",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J9750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8R9683",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.