DR. KENNETH S MARVIN MD
NPI 1417035221
Internal Medicine - Cardiovascular Disease in Grass Valley, CA

Q: 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.

Q: What is Kenneth Marvin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: 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 8 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.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

155 GLASSON WAY, GRASS VALLEY, CA 95945(530) 274-6000 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2025, Jun 10, 2021, May 18, 2016 (3 updates tracked since 2016).

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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

NPI1417035221

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. KENNETH S MARVINCredential: MD

Location Address155 GLASSON WAYGrass Valley, CA 95945-5723

Mailing Address155 Glasson WayGrass Valley, CA 95945-5723 · (530) 274-6000

Phone(530) 274-6000

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 1982

Enumeration DateNovember 1, 2006

Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1417035221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · G65886

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

155 GLASSON WAY, Grass Valley, CA 95945

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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. 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.

PECOS PAC ID4486730082

PECOS Enrollment IDI20260126000769

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 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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

35 services35 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.

12 services12 patients

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.

New Patient

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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.

DR. SAMUEL CHAN M.D.

Anesthesiology