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

DR. MARIO MAROTTA M.D.
NPI 1871591453
Internal Medicine - Nephrology in Mineola, NY

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
17.74/100
CMS Quality Rating
300 OLD COUNTRY RD, SUITE 111, MINEOLA, NY 11501(516) 745-0500(516) 745-1534 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mario Marotta M.d. NPPES

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

DR. MARIO MAROTTA M.D. (NPI 1871591453) is an individual nephrology provider in Mineola, New York, licensed in New York (208433) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York Downstate Medical Center (1996).

NPPES Registry Identity

NPI1871591453
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MARIO MAROTTACredential: M.D.
Location Address300 OLD COUNTRY RD, SUITE 111Mineola, NY 11501-4198
Mailing Address300 Old Country Rd, Suite 111Mineola, NY 11501-4198 · (516) 745-0500 · Fax (516) 745-1534
Phone(516) 745-0500
Fax(516) 745-1534
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1996
Enumeration DateJuly 8, 2005
Last NPPES UpdateDecember 19, 2012
✔ NPI 1871591453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 208433
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

300 OLD COUNTRY RD, Mineola, NY 11501
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH43462NY
Medicaid02367586NY

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

Dr. Mario Marotta 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 ID4385655349
PECOS Enrollment IDI20060505000593
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
971 services328 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
345 services103 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
253 services217 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
139 services73 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
132 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
111 services60 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau County
Emergency services

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

17.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost59.14

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers62 claims7,785 services$0.29 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,800 services$0.58 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers59 claims9,240 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims2,880 services$1.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers56 claims56 services$16.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers87 claims90 services$12.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

STEVEN A KLEIN MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
300 OLD COUNTRY RD
MINEOLA, NY 11501
Nassau County (516) 747-4404
MADONNA PHYSICIANS SERVICES PC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
300 OLD COUNTRY RD
MINEOLA, NY 11501
Nassau County (516) 747-4616
DR. BINNY KOSHY M.D.
Internal Medicine (Nephrology)
300 OLD COUNTRY RD, SUITE 111
MINEOLA, NY 11501
Nassau County (516) 745-0500
DR. ROBERT J NEJAT M.D.
Urology
300 OLD COUNTRY RD, SUITE 211
MINEOLA, NY 11501
Nassau County (516) 741-2255
GYNECOLOGIC SPECIALISTS OF LONG ISLAND LLC
Obstetrics & Gynecology (Gynecology)
300 OLD COUNTRY RD, SUITE 201
MINEOLA, NY 11501
Nassau County (516) 747-4406
METROPOLITAN MEDICAL GROUP PC
Specialist
300 OLD COUNTRY RD, #211
MINEOLA, NY 11501
Nassau County (516) 739-5310
DR. MADHUSUDANA R KORRAPATI M.D.
Internal Medicine (Nephrology)
300 OLD COUNTRY RD, SUITE 111
MINEOLA, NY 11501
Nassau County (516) 745-0500
HUE T. LY M.D.
Internal Medicine
300 OLD COUNTRY RD, SUITE 31
MINEOLA, NY 11501
Nassau County (516) 294-9380

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 Mario Marotta's NPI number?

The NPI number for Mario Marotta is 1871591453. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Mario Marotta located?

Mario Marotta practices at 300 Old Country Rd Suite 111, Mineola, NY 11501. The listed phone number is (516) 745-0500.

What is Mario Marotta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mario Marotta enrolled in Medicare?

Yes. Mario Marotta 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.

Is Mario Marotta affiliated with any hospitals?

According to CMS data, Mario Marotta is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove, Long Island Jewish Medical Center, Plainview Hospital and Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Mario Marotta was last updated on December 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.