Individual provider Active NPI

Gerard Anthony Marroquin, MD

  • Family Medicine Physician
  • Woodway, TX
National Provider Identifier
1932173044
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J0093 Issued in TX
Practice address
7003 Woodway Dr Ste 306
Woodway, TX 76712-6163
Phone
(254) 224-8050
Fax
(254) 537-0201
NPI assigned
Feb 15, 2006
Last updated
May 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J0093 TX Primary

Addresses

Primary practice location

7003 Woodway Dr Ste 306
Woodway, TX 76712-6163

Mailing address

7003 Woodway Dr Ste 306
Woodway, TX 76712-6163
Phone (254) 224-8050

Other identifiers 3

IdentifierTypeStateIssuer
123477504MedicaidTX
88X542OtherTXBCBS
00N59XOtherBCBS TEXAS

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
I20100212000492 TX Practitioner - Family Practice 6709920838 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

6101 Woodway Dr
200 Providence Family Health Clinic
Waco, TX 76712-6117
Phone (254) 537-6300

7003 Woodway Dr
Suite 306
Woodway, TX 76712-6163
Phone (254) 224-8050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gerard a Marroquin MD PLLC Family Medicine CurrentSince Nov 20, 2023 Accepting new patients
Seton Family of Doctors CurrentSince Nov 1, 2023 Accepting new patients
Providence Health Alliance CurrentSince Oct 1, 2010 Accepting new patients
Seton Family of Doctors Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Premier Physicians-II, P.a. CurrentSince Apr 1, 2017 Accepting new patients
Providence Health Alliance CurrentSince Oct 1, 2010 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

318 Richland West Cir
Waco, TX 76712
Phone (254) 776-8008

900 Austin Ave
Ste 1001
Waco, TX 76701
Phone (254) 224-8808

6101 Woodway Dr
Ste 200
Woodway, TX 76712
Phone (254) 537-6300

7003 Woodway Dr
Ste 306
Woodway, TX 76712
Phone (254) 224-8050

7003 Woodway Dr
Ste 311
Woodway, TX 76712
Phone (254) 537-6000

Interoperability endpoints

  • Direct secure messaging: gerard.marroquin.1@30466.direct.athenahealth.com
  • Direct secure messaging: gerard.marroquin.1@8363.direct.athenahealth.com
  • Direct secure messaging: gerard.marroquin.1@9635.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GentivaWaco, TX, CCN 671594 Hospice Contracted Managing Employee Jul 22, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1932173044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR STE 306",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126163",
            "telephone_number": "254-224-8050",
            "fax_number": "833-450-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR STE 306",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126163",
            "telephone_number": "254-224-8050",
            "fax_number": "254-537-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "GERARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J0093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123477504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88X542",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS",
            "identifier": "00N59X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

Verify at the official NPI Registry.