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MARVIN SO MD, MPH
NPI 1245961879
Family Medicine in Boston, MA

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment
20 MAVERICK SQ, BOSTON, MA 02128(617) 569-5800(617) 568-4585 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marvin So Md, Mph NPPES

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

MARVIN SO MD, MPH (NPI 1245961879) is an individual family medicine provider in Boston, Massachusetts, licensed in Massachusetts (1025088) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245961879
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARVIN SOCredential: MD, MPH
Location Address20 MAVERICK SQBoston, MA 02128-2335
Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800 · Fax (617) 568-4756
Phone(617) 569-5800
Fax(617) 568-4585
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 23, 2022
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1245961879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 1025088
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20 MAVERICK SQ, Boston, MA 02128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marvin So Md, Mph 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 ID6507354024
PECOS Enrollment IDI20251024002402
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.

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02128 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

MAVERICK SPECIALTY RETAIL PHARMACY
Pharmacy (Specialty Pharmacy)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 568-4781
DR. SUMATI BHALLA DDS
Dentist (General Practice)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
YUEQI LI
Counselor (School)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
KATHERINE HENAO-MARTINEZ CNP
Nurse Practitioner (Family)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
MR. JOSE LUIS DE RAMON III
Psychologist (Counseling)
20 MAVERICK SQ
BOSTON, MA 02128
Suffolk County (305) 305-5140
LARISSA HEIDEMANN PAGANINI DMD
Dentist (General Practice)
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800
RICHARD JOE HO O.D.
Optometrist
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 568-4474
CARLOS ECHEVARRIA MALDONADO PHARMD
Pharmacist
20 MAVERICK SQ
EAST BOSTON, MA 02128
Suffolk County (617) 569-5800

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 Marvin So's NPI number?

The NPI number for Marvin So is 1245961879. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Marvin So located?

Marvin So practices at 20 Maverick Sq, Boston, MA 02128. The listed phone number is (617) 569-5800.

What is Marvin So's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marvin So enrolled in Medicare?

Yes. Marvin So 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.

Is Marvin So affiliated with any hospitals?

According to CMS data, Marvin So is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Marvin So was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.