1. Home
  2. Directory
  3. New York
  4. Marcellus
  5. Internal Medicine
  6. NPI Profile

MARCELLUS MEDICAL GROUP PLLC
NPI 1437780335
Internal Medicine in Marcellus, NY

Active since January 29, 2020
1/2 ORANGE ST, MARCELLUS, NY 13108(317) 673-1529(315) 673-2434 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2020, Jul 30, 2020, Jan 29, 2020 (3 updates tracked since 2020).

About Marcellus Medical Group Pllc NPPES

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

MARCELLUS MEDICAL GROUP PLLC (NPI 1437780335) is a healthcare organization registered as an internal medicine in Marcellus, New York and active in the NPI registry since January 2020. The organization lists Khatuna N Stepkovitch, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1437780335
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARCELLUS MEDICAL GROUP PLLC
Location Address1/2 ORANGE STMarcellus, NY 13108-1216
Mailing Address1/2 Orange StMarcellus, NY 13108-1216 · (317) 673-1529 · Fax (315) 673-2434
Phone(317) 673-1529
Fax(315) 673-2434
Organization SubpartNo
Authorized OfficialKhatuna N StepkovitchPhysician/owner · (315) 673-1529
Enumeration DateJanuary 29, 2020
Last NPPES UpdateAugust 4, 20203 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1437780335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
1/2 ORANGE ST, Marcellus, NY 13108
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2118833

Marcellus Medical Group PLLC · Marcellus, NY
Expired · Aug 3, 2026
CLIA Number33D2118833
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorDr. Khatuna N. Stepkovitch
Laboratory Phone(315) 673-1529
Laboratory LocationMarcellus Medical Group PLLC1/2 Orange Street, Marcellus, NY 13108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

AMANDA WARD LMHC
Counselor (Mental Health)
1/2 ORANGE ST
MARCELLUS, NY 13108
Onondaga County (315) 313-5983
RAMON BERRIOS MD
Family Medicine
1/2 ORANGE ST
MARCELLUS, NY 13108
Onondaga County (315) 673-1529

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 Marcellus Medical Group PLLC's NPI number?

The NPI number for Marcellus Medical Group PLLC is 1437780335. It was assigned to this organization in the NPPES registry on January 29, 2020.

Where is Marcellus Medical Group PLLC located?

Marcellus Medical Group PLLC is located at 1/2 Orange St, Marcellus, NY 13108. The listed phone number is (317) 673-1529.

What is Marcellus Medical Group PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Marcellus Medical Group PLLC was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.