KEVIN J MARMO
NPI 1043159486
Student in an Organized Health Care Education/Training Program in Maywood, IL

Active since March 27, 2026PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Mar 27, 2026 (2 updates tracked since 2026).

About Kevin J Marmo NPPES

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

KEVIN J MARMO (NPI 1043159486) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043159486
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN J MARMO
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address39 Peach Tree LnWestmont, IL 60559-3463 · (708) 793-0264
Sole ProprietorNo
Enumeration DateMarch 27, 2026
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1043159486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 125.087851 (IL)
2160 S 1ST AVE, Maywood, IL 60153

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin J Marmo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

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 Kevin Marmo's NPI number?

The NPI number for Kevin Marmo is 1043159486. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Kevin Marmo located?

Kevin Marmo practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.

What is Kevin Marmo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Marmo enrolled in Medicare?

Yes. Kevin Marmo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Marmo was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.