Robert Marriott Medical Corp

NPI 1083883938ActiveOrganization· Surgery· El Segundo, CA

Surgery in El Segundo, California, registered in NPPES in February 2008. The authorized official on file is Robert James Marriott, M.D., Owner/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1083883938
Status	Active
Entity type	Organization
NPI issued	Feb 25, 2008
Last updated in NPPES	Jun 4, 2021
Certified by provider	Jun 4, 2021

Specialties and licenses

Taxonomy	Code	License	State
Surgery Primary	208600000X	A92018	CA
Surgery, Plastic and Reconstructive Surgery	2086S0122X	A92018	CA

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA)

Medicare sources and data years

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Rachel M. Krzeczowski, DO
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Robert Marriott, MD
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