MARLEY MEDICAL PROVIDER GROUP, P.A.
NPI 1487301917
Family Medicine - Adult Medicine in Coral Gables, FL

Active since March 04, 2022
2332 GALIANO ST FL 2, CORAL GABLES, FL 33134(305) 998-0713 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2025, May 30, 2025, Apr 13, 2025 and 3 more (6 updates tracked since 2022).

About Marley Medical Provider Group, P.a. NPPES

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

MARLEY MEDICAL PROVIDER GROUP, P.A. (NPI 1487301917), doing business as Starlight Provider Group, P.c., is a healthcare organization registered as an adult medicine in Coral Gables, Florida and active in the NPI registry since March 2022. The organization maintains 12 additional practice locations and lists Vikram Deepak Bakhru, President, as its authorized official.

NPPES Registry Identity

NPI1487301917
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMARLEY MEDICAL PROVIDER GROUP, P.A.
Location Address2332 GALIANO ST FL 2Coral Gables, FL 33134-5402
Mailing Address2332 Galiano St Fl 2Coral Gables, FL 33134-5402
Organization SubpartNo
Authorized OfficialVikram Deepak BakhruPresident · (888) 811-9064
Enumeration DateMarch 4, 2022
Last NPPES UpdateJune 23, 20256 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1487301917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedGeneral PracticeTaxonomy 208D00000X
2332 GALIANO ST FL 2, Coral Gables, FL 33134

Other Names 1

Doing Business AsStarlight Provider Group, P.c.

Secondary Practice Locations 12

Location 18215 SW Tualatin Sherwood Rd Ste 200Tualatin, OR 97062-8620 · Phone (305) 998-0713
Location 25960 Fairview Rd Ste 300&400Charlotte, NC 28210-3102 · Phone (305) 998-0713
Location 3450 Alaskan Way S Ste 200Seattle, WA 98104-2785 · Phone (305) 998-0713
Location 4200 S Executive Dr Ste 101Brookfield, WI 53005-4216 · Phone (305) 998-0713
Location 5445 Minnesota St Ste 1500Saint Paul, MN 55101-2269 · Phone (305) 998-0713
Location 6400 E Pratt St Fl 8Baltimore, MD 21202-3180 · Phone (305) 998-0713
Location 7100 Chesterfield Business Pkwy Ste 200Chesterfield, MO 63005-1271 · Phone (305) 998-0713
Location 8300 Baker Ave Ste 300Concord, MA 01742-2124 · Phone (305) 998-0713
Location 920 F St NW Fl 7Washington, DC 20001-6700 · Phone (305) 998-0713
Location 109465 Counselors Row Ste 200Indianapolis, IN 46240-3817 · Phone (305) 998-0713
Location 11295 E Renfro St Ste 300Burleson, TX 76028-3954 · Phone (305) 998-0713
Location 121615 Poydras St Ste 900New Orleans, LA 70112-1282 · Phone (305) 998-0713

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marley Medical Provider Group, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Marley Medical Provider Group, P.A., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1164011367
5240 SW 6TH ST
Plantation, FL 33317
(754) 244-5698
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1346699188
3527 MEMORIAL DR UNIT W
Decatur, GA 30032
(404) 573-4844
✔ PECOS✔ Accepts Medicare601 mi
Nurse Practitioner
NPI 1326568981
1085 NE GATEWAY CT NE STE 200
Concord, NC 28025
(704) 403-8650
✔ PECOS✔ Accepts Medicare669 mi
Nurse Practitioner
NPI 1447619010
950 YUMA CIR
Stoughton, WI 53589
(608) 265-7550
✔ PECOS✔ Accepts Medicare1,286 mi
Internal Medicine
NPI 1427444249
5565 BLAINE AVE
Inver Grove Heights, MN 55076
(651) 241-9400
✔ PECOS1,499 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marley Medical Provider Group, P.A.'s NPI number?

The NPI number for Marley Medical Provider Group, P.A. is 1487301917. It was assigned to this organization in the NPPES registry on March 4, 2022. The provider is doing business as Starlight Provider Group, P.C..

Where is Marley Medical Provider Group, P.A. located?

Marley Medical Provider Group, P.A. is located at 2332 Galiano St Fl 2, Coral Gables, FL 33134. The listed phone number is (305) 998-0713.

What is Marley Medical Provider Group, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Marley Medical Provider Group, P.A. enrolled in Medicare?

Yes. Marley Medical Provider Group, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marley Medical Provider Group, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Marley Medical Provider Group, P.A.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Marley Medical Provider Group, P.A. accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas list Marley Medical Provider Group, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marley Medical Provider Group, P.A. was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.