Individual provider Active NPI

Richard Paul Marvel, M.D.

  • Gynecology Physician
  • Annapolis, MD
National Provider Identifier
1841286028
Registry record updated Jun 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D51388 Issued in MD
Practice address
130 Lubrano Dr
Suite 111
Annapolis, MD 21401-7038
Phone
(410) 573-1436
Fax
(410) 573-1442
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X D51388 MD Primary

Addresses

Primary practice location

130 Lubrano Dr
Suite 111
Annapolis, MD 21401-7038

Mailing address

130 Lubrano Dr
Suite 111
Annapolis, MD 21401-7038
Phone (410) 480-9710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110407000618 MD Practitioner - Obstetrics/Gynecology 8123014255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

130 Lubrano Dr
Suite 111
Annapolis, MD 21401-7192
Phone (410) 573-1436

133 Defense Hwy
Annapolis, MD 21401-7015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 25, 2015 Accepting new patients
Privia Medical Group, LLC Gynecology CurrentSince Sep 25, 2015 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA PastSince Jan 21, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

130 Lubrano Dr
Ste 111
Annapolis, MD 21401
Phone (410) 573-1436

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: richard.marvel.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307232000000",
    "number": "1841286028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LUBRANO DR",
            "address_2": "SUITE 111",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017038",
            "telephone_number": "410-480-9710",
            "fax_number": "410-480-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LUBRANO DR",
            "address_2": "SUITE 111",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017038",
            "telephone_number": "410-573-1436",
            "fax_number": "410-573-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2011-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D51388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.