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KEVIN T MARMOLEJO M.D.
NPI 1821211186
Psychiatry & Neurology - Psychosomatic Medicine in Fresno, CA

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
4441 E KINGS CANYON RD, FRESNO, CA 93702(559) 453-6599(559) 453-8234 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin T Marmolejo M.d. NPPES

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

KEVIN T MARMOLEJO M.D. (NPI 1821211186) is an individual psychosomatic medicine provider in Fresno, California, licensed in California (A89294) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2003).

NPPES Registry Identity

NPI1821211186
Entity TypeIndividualMale
Primary Taxonomy2084P0015X
Provider Legal NameKEVIN T MARMOLEJOCredential: M.D.
Location Address4441 E KINGS CANYON RDFresno, CA 93702-3604
Mailing AddressPo Box 11800Fresno, CA 93775-1800 · (559) 453-6599 · Fax (559) 453-8234
Phone(559) 453-6599
Fax(559) 453-8234
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2003
Enumeration DateApril 11, 2007
Last NPPES UpdateDecember 15, 2021
✔ NPI 1821211186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Psychosomatic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P0015X
License✔ Licensed in CA · A89294
Definition
Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
4441 E KINGS CANYON RD, Fresno, CA 93702
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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

Kevin T Marmolejo M.d. 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 ID4284720822
PECOS Enrollment IDI20071012000404
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.

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.

IIESKA SHUNATEL PACKARD LVN
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 600-9180
GUADALUPE GARCIA VILLAGOMEZ LVN
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 600-4099
TERESITA UMALI RN
Counselor (Mental Health)
4441 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-5191
ANA J COLLINS
Counselor (Mental Health)
4441 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 600-9099
MR. NEAL RICHARD FREEMAN LPT
Licensed Psychiatric Technician
4441 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 905-0550
DR. ADRIAN LOUIS DELLA PORTA PHD
Psychologist
4441 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 253-9131
MRS. HELEN IRENE ORTEGA LVN
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-5191
MS. LINDA L DELGADO LVN
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 600-4099

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 Kevin Marmolejo's NPI number?

The NPI number for Kevin Marmolejo is 1821211186. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Kevin Marmolejo located?

Kevin Marmolejo practices at 4441 E Kings Canyon Rd, Fresno, CA 93702. The listed phone number is (559) 453-6599.

What is Kevin Marmolejo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychosomatic Medicine, with taxonomy code 2084P0015X.

Is Kevin Marmolejo enrolled in Medicare?

Yes. Kevin Marmolejo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kevin Marmolejo was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.