Dean John Mariano, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

O200621A Issued in IN

Practice address

2068 Broughton St
Carmel, IN 46032-7311

Phone

(860) 977-9805

Fax

(830) 867-5917

NPI assigned

Aug 17, 2005

Last updated

Sep 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Lake Erie College of Osteopathic Medicine, Erie, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Polyclinic PCGroup PAC ID 6608016019, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Indiana Polyclinic PC

  • Pain Clinic/Center
  • Carmel, IN
  • NPI 1609117118
  Medicare reassignment Care Compare group NPD
• Jonathan Kost MD LLC

  dba The Spine and Pain Institute

  • Interventional Pain Medicine Physician
  • Meriden, CT
  • NPI 1205081890
  NPD (past)
• The Center for Pain Management

  • Pain Clinic/Center
  • Portsmouth, VA
  • NPI 1639236284
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1972595874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 BROUGHTON ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327311",
            "telephone_number": "860-977-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 BROUGHTON ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327311",
            "telephone_number": "860-977-9805",
            "fax_number": "830-867-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "DEAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0102201558",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "05010776L",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "045817",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "O200621A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liane Michele Marcotte, PMHNP
• Michael Marcotte, MD
• Rebecca Marcum
• Kristy Mardis, NP
• Maria N. Solito MD LLC
• Sara Marjamaa
• Mark S. Lund D.D.S., M.S.D.,PC
• Jessica Ann Markiewicz, PA- C
• Karen Markle, PTA
• Harvey O Markley, O. D.

• Interventional Pain Medicine Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.