PHILIP C. MARIN, MD PROF LLC
NPI 1497934558
Plastic Surgery in Pueblo, CO
About Philip C. Marin, Md Prof Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP C. MARIN, MD PROF LLC (NPI 1497934558) is a healthcare organization registered as a plastic surgery in Pueblo, Colorado and active in the NPI registry since October 2007. The organization lists Philip C. Marin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Philip C. Marin, Md Prof Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Philip C. Marin, MD Prof LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Philip C. Marin, MD Prof LLC's NPI number?
The NPI number for Philip C. Marin, MD Prof LLC is 1497934558. It was assigned to this organization in the NPPES registry on October 25, 2007.
Where is Philip C. Marin, MD Prof LLC located?
Philip C. Marin, MD Prof LLC is located at 650 Dittmer Ave, Pueblo, CO 81005. The listed phone number is (719) 565-1000.
What is Philip C. Marin, MD Prof LLC's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Philip C. Marin, MD Prof LLC enrolled in Medicare?
Yes. Philip C. Marin, MD Prof LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Philip C. Marin, MD Prof LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Philip C. Marin, MD Prof LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Philip C. Marin, MD Prof LLC was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Philip C. Marin, Md Prof Llc · NPI 1497934558
Plastic Surgery organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since October 25, 2007.
## Identity
- **NPI:** 1497934558 (Entity type: Organization)
- **Enumerated:** October 25, 2007
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** Philip Marin, OWNER
## Practice location
- **Address:** 650 DITTMER AVE, Pueblo, CO 81005-1212
- **Phone:** (719) 565-1000 · **Fax:** (719) 565-1111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2007
- **Other identifiers:** Medicare PIN 801605 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1497934558) · Data from the CMS NPPES public registry.