Individual provider Active NPI

James Crawford Marroquin, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1902014392
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M8813 Issued in TX
Practice address
1305 W 34TH St Ste 204
Austin, TX 78705-1922
Phone
(737) 285-3770
Fax
(737) 285-3771
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M8813 TX Primary

Addresses

Primary practice location

1305 W 34TH St Ste 204
Austin, TX 78705-1922

Mailing address

1305 W 34TH St Ste 204
Austin, TX 78705-1922
Phone (737) 285-3770

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
I20090313000471 TX Practitioner - Internal Medicine 4183781370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abksw Central Texas Preferred Health Partners PLLCGroup PAC ID 1254712060, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1305 W 34TH St
204 Central Texas Preferred Health Partners
Austin, TX 78705-1922
Phone (737) 285-3770

3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Temple, TX, CCN 457159
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abksw Central Texas Preferred Health Partners PLLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations

1305 W 34th St
Ste 204
Austin, TX 78705
Phone (512) 243-6868

3417 Gaston Ave
Ste 700
Dallas, TX 75246
Phone (214) 823-4800

Organizations & group practices 2

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 3

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1902014392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W 34TH ST STE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051922",
            "telephone_number": "737-285-3770",
            "fax_number": "737-285-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 34TH ST STE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051922",
            "telephone_number": "737-285-3770",
            "fax_number": "737-285-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "JAMES",
        "middle_name": "CRAWFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M8813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.