LUIS HENRIQUE MARCONCINI MD
NPI 1184252249
Internal Medicine in Boardman, OH

Q: What is Luis Marconcini's NPI number?

The NPI number for Luis Marconcini is 1184252249. It was assigned to this individual provider in the NPPES registry on April 1, 2020. The provider is also known as Luis Henrique Marconcini Magalhaes.

Q: What is Luis Marconcini's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Luis Marconcini was last updated on December 21, 2023. 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.

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment

8401 MARKET ST, BOARDMAN, OH 44512(330) 729-4298(330) 729-1591 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2023, Apr 14, 2021, Aug 13, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Luis Henrique Marconcini Md NPPES

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

LUIS HENRIQUE MARCONCINI MD (NPI 1184252249) is an individual internal medicine provider in Boardman, Ohio, licensed in Ohio (35149375) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184252249

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameLUIS HENRIQUE MARCONCINICredential: MD

Location Address8401 MARKET STBoardman, OH 44512-6725

Mailing Address8401 Market StBoardman, OH 44512-6725 · (330) 729-4298 · Fax (330) 729-1591

Phone(330) 729-4298

Fax(330) 729-1591

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 1, 2020

Last NPPES UpdateDecember 21, 20234 updates tracked since enumeration

NPPES CertifiedDecember 21, 2023

✔ NPI 1184252249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35149375

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 35.149375 (OH)

8401 MARKET ST, Boardman, OH 44512

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Other Names 1

Former Name (1)Luis Henrique Marconcini Magalhaes

Secondary Practice Locations 2

Location 11044 Belmont AveYoungstown, OH 44504-1006 · Phone (330) 480-7320 · Fax (330) 729-1591

Location 2667 Eastland Ave SEWarren, OH 44484-4503 · Phone (330) 841-2378 · Fax (330) 729-1591

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis Henrique Marconcini Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456774538

PECOS Enrollment IDI20240123003981

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 Luis Marconcini reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Physicians Youngstown Specialty Care LLC

8.2 mi

Dentist

1044 BELMONT AVE
Youngstown, OH 44504

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1609544055 (330) 746-7211

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

325 services126 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

93 services89 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

43 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360276

Location8401 Market StreetBoardman, OH 44512 · Mahoning County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. JESSICA HARRIMAN AUSTIN DO

Internal Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4298

DR. JEROME CHELLIAH MD, MPH

Obstetrics & Gynecology

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4350

SHREY PATEL DO

Emergency Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-7960

BENJAMIN MINER

Emergency Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-8757

DR. JEANINE AWAD-SPIRTOS M.D.

Emergency Medicine

8401 MARKET ST
YOUNGSTOWN, OH 44512

Mahoning County (330) 729-2929

ANTONIUS SUSATYO HADI MD

Obstetrics & Gynecology

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4350

ROBERT KOLLER DO

Family Medicine

8401 MARKET ST
BOARDMAN, OH 44512

Mahoning County (330) 729-4298

MISS AMBER HUNKUS APRN

Nurse Practitioner (Family)

8401 MARKET ST
YOUNGSTOWN, OH 44512

Mahoning County (330) 729-4298

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 Luis Marconcini's NPI number?

The NPI number for Luis Marconcini is 1184252249. It was assigned to this individual provider in the NPPES registry on April 1, 2020. The provider is also known as Luis Henrique Marconcini Magalhaes.

Where is Luis Marconcini located?

Luis Marconcini practices at 8401 Market St, Boardman, OH 44512. The listed phone number is (330) 729-4298.

What is Luis Marconcini's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Luis Marconcini enrolled in Medicare?

Yes. Luis Marconcini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Luis Marconcini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Marconcini reassigns Medicare benefits to Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH). 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 Luis Marconcini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Marconcini accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Luis Marconcini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Luis Marconcini affiliated with any hospitals?

According to CMS data, Luis Marconcini is affiliated with St Elizabeth Youngstown Hospital and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for Luis Marconcini was last updated on December 21, 2023. 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.