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MR. MARION RAY WINDHAM M.D.
NPI 1144214636
General Practice in Palm Desert, CA

Active since September 09, 2005PECOS Enrolled
74990 COUNTRY CLUB DR, SUITE 310, PALM DESERT, CA 92260(760) 341-8800(760) 775-4818 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Marion Ray Windham M.d. NPPES

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

MR. MARION RAY WINDHAM M.D. (NPI 1144214636) is an individual general practice provider in Palm Desert, California, licensed in California (C34630) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144214636
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. MARION RAY WINDHAMCredential: M.D.
Location Address74990 COUNTRY CLUB DR, SUITE 310Palm Desert, CA 92260-1991
Mailing Address81767 Dr Carreon Blvd, Ste 201Indio, CA 92201-5597 · (760) 775-4181 · Fax (760) 775-4818
Phone(760) 341-8800
Fax(760) 775-4818
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateJanuary 19, 2017
✔ NPI 1144214636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · C34630
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
74990 COUNTRY CLUB DR, Palm Desert, CA 92260
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Other Identifiers 2

Medicare PIN00C346300CA
Medicare UPINA88998CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Marion Ray Windham M.d. 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 4

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

DR. STEVEN S. FOUNTAIN MD
Orthopaedic Surgery
74990 COUNTRY CLUB DR
PALM DESERT, CA 92260
Riverside County (760) 341-8800
MICHAEL MOSTYN M.D.
Internal Medicine
74990 COUNTRY CLUB DR, SUITE # 310
PALM DESERT, CA 92260
Riverside County (760) 341-8800
INDIO EMERGENCY MEDICAL GROUP INC
Family Medicine (Hospice and Palliative Medicine)
74990 COUNTRY CLUB DR, SUITE 310
PALM DESERT, CA 92260
Riverside County (760) 341-8800
THOMAS MCMILLAN M.D.
Emergency Medicine
74990 COUNTRY CLUB DR, SUITE # 310
PALM DESERT, CA 92260
Riverside County (760) 341-8800

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 Marion Windham's NPI number?

The NPI number for Marion Windham is 1144214636. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Marion Windham located?

Marion Windham practices at 74990 Country Club Dr Suite 310, Palm Desert, CA 92260. The listed phone number is (760) 341-8800.

What is Marion Windham's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Marion Windham enrolled in Medicare?

Yes. Marion Windham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marion Windham was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.