Active NPI
Christina Marmol, M.D.
- Family Medicine Physician
- Dorchester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 271407
- Practice address
- 637 Washington St
Dorchester, MA 02124-3510 - Phone
- (617) 825-9660
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 271407 | MA | Primary |
Addresses
Primary practice location
637 Washington St
Dorchester, MA 02124-3510
Mailing address
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Vanderbilt University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1431 N Western Ave
Suite 406
Chicago, IL 60622-1774
Phone (312) 491-5495
Hospital & facility affiliations
- Presence Saints Mary and Elizabeth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare Community Health Inc | Current | Accepting new patients | |
| Primecare Community Health, Inc. | Family Medicine | Current | Accepting new patients |
| Primecare Community Health, Inc. | Family Medicine | Current | Accepting new patients |
| Primecare Community Health Inc | Past | Accepting new patients | |
| Primecare Community Health, Inc. | Family Medicine | Past | Accepting new patients |
Locations
1127 N Oakley Blvd
Fl 2
Chicago, IL 60622
Phone (312) 633-5841
1649 N Pulaski Rd
Chicago, IL 60639
Phone (773) 278-6868
1127 N Oakley Blvd
Bldg 2
Chicago, IL 60622
2211 N Elston Ave
Ste 301
Chicago, IL 60614
3924 W Fullerton Ave
Chicago, IL 60647
Phone (773) 276-2229
1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495
1431 N Western Ave
Ste 209
Chicago, IL 60622
Phone (312) 491-5435
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1558532739
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1891541215
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1225010911
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1700230398
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1992851067
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1982145280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CTR PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 WASHINGTON ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021243510",
"telephone_number": "617-825-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMOL",
"first_name": "CHRISTINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "271407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.