1. Home
  2. Directory
  3. Virginia
  4. Portsmouth
  5. Otolaryngology
  6. NPI Profile

KASTLEY MARVIN
NPI 1063832210
Otolaryngology - Pediatric Otolaryngology in Portsmouth, VA

Active since April 25, 2014PECOS Enrolled
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708(757) 953-2832 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2024, Jan 3, 2022, Mar 2, 2021 (3 updates tracked since 2021).

About Kastley Marvin NPPES

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

KASTLEY MARVIN (NPI 1063832210) is an individual pediatric otolaryngology provider in Portsmouth, Virginia, licensed in Virginia (0101258930) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2014).

NPPES Registry Identity

NPI1063832210
Entity TypeIndividualFemale
Primary Taxonomy207YP0228X
Provider Legal NameKASTLEY MARVIN
Location AddressNAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLEPortsmouth, VA 23708
Mailing AddressNaval Medical Center Portsmouth, 620 John Paul Jones CirclePortsmouth, VA 23708
Phone(757) 953-2832
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2014
Enumeration DateApril 25, 2014
Last NPPES UpdateAugust 9, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1063832210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in VA · 0101258930
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 0101258930 (VA)
NAVAL MEDICAL CENTER PORTSMOUTH, Portsmouth, VA 23708
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kastley Marvin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769847995
PECOS Enrollment IDI20251230001990
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.

Medicare Billing Reassignment

Medicare enrollment records show Kastley Marvin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Specialty Group PLLC
3.1 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

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

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.

TYHEISHA KRYSTAL ROACH DDS
Dentist
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
NORFOLK, VA 23708
Portsmouth City (757) 953-8591
DALEY FAVO AUVIL MD
Pediatrics
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2339
DR. GREGORY GERARD CAPRA M.D.
Otolaryngology
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2800
DR. SUSAN CHRISTINE CLARK MD
Surgery
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9759
DR. ELIZABETH ORTIZ-NATOLI M.D.
Pediatrics
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-6336
DR. BRYAN M DAVIDSON PH.D.
Psychologist (Clinical)
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-6771
BRENDAN MICHAEL O'CONNOR M.D.
Radiology (Diagnostic Radiology)
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7550
TAMMY GAIL HENLEY AVILA PA-C
Physician Assistant (Medical)
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7550

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 Kastley Marvin's NPI number?

The NPI number for Kastley Marvin is 1063832210. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Kastley Marvin located?

Kastley Marvin practices at Naval Medical Center Portsmouth 620 John Paul Jones Circle, Portsmouth, VA 23708. The listed phone number is (757) 953-2832.

What is Kastley Marvin's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Kastley Marvin enrolled in Medicare?

Yes. Kastley Marvin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kastley Marvin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kastley Marvin reassigns Medicare benefits to Childrens Specialty Group PLLC (Norfolk, VA). The 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 Kastley Marvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kastley Marvin was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.