Individual provider Active NPI

Jose Mario Marina Jr., D.O.

  • Orthopaedic Surgery Physician
  • Mission, TX
National Provider Identifier
1992777460
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K6125 Issued in TX
Practice address
1022 E Griffin Pkwy Ste 108
Mission, TX 78572-2401
Phone
(956) 583-7111
Fax
(956) 583-7141
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X K6125 TX Primary

Addresses

Primary practice location

1022 E Griffin Pkwy Ste 108
Mission, TX 78572-2401

Mailing address

PO Box 4624
McAllen, TX 78502-4624
Phone (956) 583-7111

Other identifiers 2

IdentifierTypeStateIssuer
041733904MedicaidTX
P00060053OtherTXPALMETTO GBA RAIL ROAD

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
I20040813000337 TX Practitioner - Orthopedic Surgery 2163494402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Nova Southeastern College of Osteo Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Providers 26 clinicians

Practice addresses (Care Compare)

1022 E Griffin Pkwy
Suite 108
Mission, TX 78572-2401
Phone (956) 583-7111

Hospital & facility affiliations

  • St Anthonys Home Healthcare Services Inc Home health agency, McAllen, TX, CCN 457996
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score
77.39 of 100Reported as group
Quality
68.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Providers Orthopaedic Surgery CurrentSince Sep 25, 2018 Accepting new patients
Mission Orthopaedics PA Past Accepting new patients

Locations

5540 Raphael Dr
Edinburg, TX 78539
Phone (956) 362-6683

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1022 E Griffin Pkwy
Ste 108
Mission, TX 78572
Phone (956) 583-7111

1313 St Claire Blvd
Mission, TX 78572
Phone (956) 362-6980

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1992777460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4624",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024624",
            "telephone_number": "956-583-7111",
            "fax_number": "956-583-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E GRIFFIN PKWY STE 108",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722401",
            "telephone_number": "956-583-7111",
            "fax_number": "956-583-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINA",
        "first_name": "JOSE",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K6125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041733904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAIL ROAD",
            "identifier": "P00060053",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.