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MARAPOSA SURGICAL INC.
NPI 1508014697
Surgery - Vascular Surgery in Bradford, PA

Active since September 03, 2008
900 CHESTNUT STREET EXT, STE A, BRADFORD, PA 16701(814) 368-8490(814) 368-8041 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maraposa Surgical Inc. NPPES

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

MARAPOSA SURGICAL INC. (NPI 1508014697) is a healthcare organization registered as a vascular surgery in Bradford, Pennsylvania and active in the NPI registry since September 2008. The organization lists Robert Wayne Tahara, President, as its authorized official.

NPPES Registry Identity

NPI1508014697
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMARAPOSA SURGICAL INC.
Location Address900 CHESTNUT STREET EXT, STE ABradford, PA 16701-2298
Mailing Address900 Chestnut Street Ext, Ste ABradford, PA 16701-2298 · (814) 368-8490 · Fax (814) 368-8041
Phone(814) 368-8490
Fax(814) 368-8041
Organization SubpartNo
Authorized OfficialRobert Wayne TaharaPresident · (814) 368-8490
Enumeration DateSeptember 3, 2008
Last NPPES UpdateMarch 23, 2016
✔ NPI 1508014697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in PA · MD419351
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License MD419351 (PA)
900 CHESTNUT STREET EXT, Bradford, PA 16701
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maraposa Surgical Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20041025001077Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maraposa Surgical Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Tahara, MD
General Surgery
NPI 1902859069
900 CHESTNUT STREET EXT SUITE A
Bradford, PA 16701
(814) 368-8490
✔ PECOS✔ Accepts MedicareSame address

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 Maraposa Surgical Inc.'s NPI number?

The NPI number for Maraposa Surgical Inc. is 1508014697. It was assigned to this organization in the NPPES registry on September 3, 2008.

Where is Maraposa Surgical Inc. located?

Maraposa Surgical Inc. is located at 900 Chestnut Street Ext Ste A, Bradford, PA 16701. The listed phone number is (814) 368-8490.

What is Maraposa Surgical Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Maraposa Surgical Inc. enrolled in Medicare?

Yes. Maraposa Surgical Inc. is registered in the Medicare PECOS enrollment system.

When is Maraposa Surgical Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Maraposa Surgical Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Maraposa Surgical Inc.. 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 Maraposa Surgical Inc. was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.