DR. KENNETH S MARVIN MD
NPI 1417035221
Internal Medicine - Cardiovascular Disease in Grass Valley, CA
About Dr. Kenneth S Marvin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH S MARVIN MD (NPI 1417035221) is an individual cardiovascular disease provider in Grass Valley, California, licensed in California (G65886) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Kenneth S Marvin 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Marvin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 clinicians in this Medicare group
Murrieta, CA 92562
- Reassigned Medicare billing, California enrollment
- 5 clinicians in this Medicare group
Kingman, AZ 86409
- Reassigned Medicare billing, Arizona enrollment
- 418 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95945 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRASS VALLEY, CA 95945
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 Kenneth Marvin's NPI number?
The NPI number for Kenneth Marvin is 1417035221. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Kenneth Marvin located?
Kenneth Marvin practices at 155 Glasson Way, Grass Valley, CA 95945. The listed phone number is (530) 274-6000.
What is Kenneth Marvin's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Kenneth Marvin enrolled in Medicare?
Yes. Kenneth Marvin 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 organizations bill Medicare for Kenneth Marvin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Marvin reassigns Medicare benefits to 3 organizations: Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA), Oshodi Medical Corporation (Murrieta, CA) and Kingman Healthcare, Inc (Kingman, AZ). Each 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 Kenneth 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 Kenneth Marvin was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Dr. Kenneth S Marvin, MD · NPI 1417035221
Cardiovascular Disease physician in Grass Valley, California. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1417035221 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** G65886 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 GLASSON WAY, Grass Valley, CA 95945-5723
- **Phone:** (530) 274-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of California, Inc (NPI 1184663965, Apple Valley, CA); Oshodi Medical Corporation (NPI 1609310333, Murrieta, CA); Kingman Healthcare, Inc (NPI 1760703805, Kingman, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 1982
## Record status
- **NPPES last updated:** December 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417035221) · Data from the CMS NPPES public registry.