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DR. ATUL V MARATHE
NPI 1326034695
Internal Medicine - Gastroenterology in Woodbridge, VA

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
80.82/100
CMS Quality Rating
14010 SMOKETOWN RD, SUITE 117, WOODBRIDGE, VA 22192(703) 580-0181(703) 897-8763 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Atul V Marathe NPPES

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

DR. ATUL V MARATHE (NPI 1326034695) is an individual gastroenterology provider in Woodbridge, Virginia, licensed in Virginia (0101232268) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Prince William Medical Center, and is a graduate of Emory University School Of Medicine (1999).

NPPES Registry Identity

NPI1326034695
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ATUL V MARATHE
Location Address14010 SMOKETOWN RD, SUITE 117Woodbridge, VA 22192-4704
Mailing Address14010 Smoketown Rd, # 117Woodbridge, VA 22192-4722 · (703) 242-0819
Phone(703) 580-0181
Fax(703) 897-8763
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1999
Enumeration DateSeptember 22, 2005
Last NPPES UpdateFebruary 13, 2018
✔ NPI 1326034695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in VA · 0101232268
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
14010 SMOKETOWN RD, Woodbridge, VA 22192
Open in Google Maps ↗

Other Identifiers 1

Medicaid5876125VA

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

Dr. Atul V Marathe 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 ID6800852310
PECOS Enrollment IDI20041207000393, I20110513000173
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
377 services234 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
76 services74 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
69 services67 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
60 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.63
Promoting Interoperability100
Improvement Activities40
Cost74.45

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%150 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,281 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
44%496 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
99%72 patients5/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%605 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%201 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
13%30 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
60%605 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
92%60 patients5/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

DR. JACK C HUANG M.D.
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Prince William County (703) 580-0181
ANISHA THADANI MD
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Prince William County (703) 580-0181
SONRIA DENTAL CARE PLLC
Dentist (General Practice)
14010 SMOKETOWN RD
WOODBRIDGE, VA 22192
Prince William County (703) 310-9218
TINA POLLEY
Nurse Practitioner (Family)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Prince William County (703) 580-0181
ALI FARHAD KAZEMI M.D.
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Prince William County (703) 580-0181
CARLYLE FAIRFAX HOOFF CASELLA PA
Physician Assistant
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Prince William County (703) 580-0181
DR. MICHAEL C. BROWN M.D.
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Prince William County (703) 580-0181
DR. KENNETH NEIL JOSOVITZ M.D.
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Prince William County (703) 580-0181

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 Atul Marathe's NPI number?

The NPI number for Atul Marathe is 1326034695. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Atul Marathe located?

Atul Marathe practices at 14010 Smoketown Rd Suite 117, Woodbridge, VA 22192. The listed phone number is (703) 580-0181.

What is Atul Marathe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Atul Marathe enrolled in Medicare?

Yes. Atul Marathe 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 Atul Marathe affiliated with any hospitals?

According to CMS data, Atul Marathe is affiliated with Novant Prince William Medical Center, Sentara Northern Virginia Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Atul Marathe was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.