KATIE ANN MARRERO (MD) – Student in an Organized Health Care Education/Training Program, NPI 1114580321
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
308 GENERAL SURGERY in NV
Provider Addresses for KATIE ANN MARRERO (MD)
5400 S Rainbow Blvd
Las Vegas, NV 891181859
Phone: (702) 853-3000
Type: Location
Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
URBANA, IL 618012529
Phone:
Type: Mailing
657 N Town Center Dr
Las Vegas, NV 891446367
Phone: (702) 233-7000
Type: Location
155 Raiders Way
henderson, NV 89052
Phone: (725) 235-2000
Type: Location
1050 W Galleria Dr
Henderson, NV 890114800
Phone: (702) 963-7000
Type: Location
5380 S RAINBOW BLVD STE 320
LAS VEGAS, NV 891181880
Phone:
Type: Mailing
6900 N DURANGO DR
LAS VEGAS, NV 891494409
Phone: (702) 835-9700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $421.
Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($173).
Total Amount
$421
General + Research + Ownership
Payments
4
Total payment records
General Amount
$421
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $173 |
| Medtronic, Inc. | $155 |
| Stryker Corporation | $79 |
| Intuitive Surgical, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240819000068 | I | General Surgery | PA | TBD |
| I20251217004527 | I | General Surgery | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NV | |
| Internal Medicine | NJ | |
| Internal Medicine | NV | |
| Family Practice | NV | |
| Family Practice | NY | |
| Internal Medicine | NV | |
| - | AZ | |
| Thoracic Surgery, Cardiac Surgery, Vascular Surgery | NV | |
| Internal Medicine | WV | |
| G A S T R O E N T E R O L O G Y | NV |
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