MARAPOSA SURGICAL INC. – Vascular Surgery Physician, NPI 1508014697

MARAPOSA SURGICAL INC. is a healthcare provider. based in Bradford, Pennsylvania. specializing in Vascular Surgery Physician. The organization holds a License No. MD419351 (PA). The NPI Number for MARAPOSA SURGICAL INC. is 1508014697

Main info

Organization
Name
MARAPOSA SURGICAL INC.
NPI
1508014697
Phone
(814) 368-8490
Address
900 CHESTNUT STREET EXT
Authorized Official
DR. ROBERT WAYNE TAHARA PRESIDENT M.D.
Enumeration Date
3 September 2008
Last Update Date
23 March 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for MARAPOSA SURGICAL INC.

  • 900 CHESTNUT STREET EXT

    STE A

    BRADFORD, PA 167012298

    Phone: (814) 368-8490

    Fax: (814) 368-8041

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20041025001077OClinic/Group PracticePATBD

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.

Verify on CMS Revalidation Lookup Tool

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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 16701)

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Reviews

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Frequently asked questions

What unique ID ties claims to MARAPOSA SURGICAL INC.?
NPI 1508014697 is assigned to MARAPOSA SURGICAL INC. under the national enumeration system.
Is MARAPOSA SURGICAL INC. active in the national directory?
MARAPOSA SURGICAL INC.'s public NPI profile is in an active state.
What field does MARAPOSA SURGICAL INC. work in?
You can think of MARAPOSA SURGICAL INC. as practicing within Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MARAPOSA SURGICAL INC.?
The snapshot lists Bradford, Pennsylvania for MARAPOSA SURGICAL INC.; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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