Mariano L Orca, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

27198 Issued in MS

Practice address

1860 Chadwick Dr Ste 351
Jackson, MS 39204-3472

Phone

(601) 376-1288

Fax

(601) 376-1293

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariano.orca.1@4695.direct.athenahealth.com

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.

• Lake Country Health Alliance

  • Pediatrics Physician
  • Sturgis, MI
  • NPI 1134310022
  NPD (past) Authorized official
• Lake Country Urology Clinic, PLLC

  • Urology Physician
  • Coldwater, MI
  • NPI 1154453926
  NPD (past) Authorized official
• Lake Country Urology Clinic, PLLC

  • Urology Physician
  • Dowagiac, MI
  • NPI 1528190303
  NPD (past) Authorized official
• Lake Country Urology Clinic, PLLC

  • Urology Physician
  • Three Rivers, MI
  • NPI 1952433732
  NPD (past) Authorized official
• Indiana University Health Ball Memorial Physicians, Inc.

  • Family Medicine Physician
  • Muncie, IN
  • NPI 1235455544

  Pediatrics

  NPD
• River Oaks Management Company LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1922029040
  NPD (past)
• Ascension Medical Group Promed

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869

  Pediatrics

  NPD (past)
• Sturgis Hospital, Inc.

  • Family Medicine Physician
  • Sturgis, MI
  • NPI 1366775686
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1932273984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321359",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321359",
            "telephone_number": "601-936-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR STE 351",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043472",
            "telephone_number": "601-376-1288",
            "fax_number": "601-376-1293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473044307",
            "country_code": "US",
            "telephone_number": "765-747-4332",
            "fax_number": "765-448-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORCA",
        "first_name": "MARIANO",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01028016A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01028016A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "27198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariano.orca.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1860 Chadwick Dr Ste 351",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392043472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "morca@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2901 W Jackson St",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473044307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Optimum Personal Care & Sitters, Inc.
• Opus RX, LLC
• Patrick K Oquinn
• Oral & Maxillofacial Surgery Associates, PA
• Oral Pathology Services-Umc
• Jeffrey D. Orledge, MD
• Kirby J Orme, MD
• Randall Orr, RPSGT
• Wayne Shannon Orr III, M.D.
• Ortho Sport & Spine Physicians of Mississippi, LLC

• Urology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Urology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.