Individual provider Active NPI

Ravinder Singh Marok, M.D

  • Child & Adolescent Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1871728378
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD60541870 Issued in WA
Practice address
753 N 35TH St Ste 311
Seattle, WA 98103-8873
Phone
(206) 501-4342
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD60541870 WA
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X MD60541870 WA Primary

Addresses

Primary practice location

753 N 35TH St Ste 311
Seattle, WA 98103-8873

Mailing address

753 N 35TH St Ste 311
Seattle, WA 98103-8873
Phone (206) 501-4342

Other practice location 1

2820 Northup Way Ste 105
Bellevue, WA 98004-1438
Phone (206) 501-4342

Other practice location 2

310 3rd Ave NE Ste 124
Issaquah, WA 98027-3350
Phone (206) 501-4342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2022 through Jan 19, 2028

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: rmarok57895@direct.valleymed.org

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1871728378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST STE 311",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038873",
            "telephone_number": "206-501-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST STE 311",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038873",
            "telephone_number": "206-501-4342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 Northup Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041438",
            "country_code": "US",
            "telephone_number": "206-501-4342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 3rd Ave NE Ste 124",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980273350",
            "country_code": "US",
            "telephone_number": "206-501-4342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROK",
        "first_name": "RAVINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60541870",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD60541870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.