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ROBERT MARRIOTT MEDICAL CORP
NPI 1003367566
Surgery in Mount Airy, MD

Active since October 19, 2016
713 MIDWAY AVE, MOUNT AIRY, MD 21771(877) 878-3289(877) 817-3227 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 8, 2018, Oct 19, 2016 (2 updates tracked since 2016).

About Robert Marriott Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT MARRIOTT MEDICAL CORP (NPI 1003367566) is a healthcare organization registered as a surgery in Mount Airy, Maryland and active in the NPI registry since October 2016. The organization lists Robert J Marriott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003367566
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameROBERT MARRIOTT MEDICAL CORP
Location Address713 MIDWAY AVEMount Airy, MD 21771-2833
Mailing Address222 N Pacific Coast Hwy Ste 2175El Segundo, CA 90245-5639 · (877) 878-3289 · Fax (877) 817-3227
Phone(877) 878-3289
Fax(877) 817-3227
Organization SubpartYesParent: Advantage Wound Care
Authorized OfficialRobert J MarriottCeo · (877) 878-3289
Enumeration DateOctober 19, 2016
Last NPPES UpdateNovember 8, 20182 updates tracked since enumeration
✔ NPI 1003367566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
713 MIDWAY AVE, Mount Airy, MD 21771
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Other Identifiers 1

Medicaid551507600MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Marriott Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20110916000010Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Robert Marriott Medical Corp, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Susan Wozniak, MD, MBA
General Surgery
NPI 1053759407
2401 W BELVEDERE AVE
Baltimore, MD 21215
(410) 601-9000
✔ PECOS26 mi
Nasrin Ansari, MD
General Surgery
NPI 1497833826
200 BANNING ST STE 200
Dover, DE 19904
(302) 674-0600
✔ PECOS✔ Accepts Medicare88 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Marriott Medical Corp's NPI number?

The NPI number for Robert Marriott Medical Corp is 1003367566. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is Robert Marriott Medical Corp located?

Robert Marriott Medical Corp is located at 713 Midway Ave, Mount Airy, MD 21771. The listed phone number is (877) 878-3289.

What is Robert Marriott Medical Corp's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Marriott Medical Corp enrolled in Medicare?

Yes. Robert Marriott Medical Corp is registered in the Medicare PECOS enrollment system.

When is Robert Marriott Medical Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Robert Marriott Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Robert Marriott Medical Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert Marriott Medical Corp was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.