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Deactivated NPI 1932102373 Deactivated / Inactive NPI Male Practitioner

Dr. Marco Caselli , MD

Specialist • Beaumont, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marco Caselli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2005
NPI Deactivation Date August 04, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Marco Caselli, MD was a registered Specialist practicing in Beaumont, TX. Throughout an active medical career spanning 17 years, Dr. Caselli provided care at the practice location at 3570 COLLEGE ST until profile deactivation on 2022-08-04.

Practice Location & Contact Primary Location

Practice Address

3570 College St
Ste 200

Beaumont, TX 777014679

Telephone 4098339797
Fax 4098393174
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Beaumont, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.1 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Beaumont, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX J1597

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sandra Fowler , MSN FNP

Nurse Practitioner - Family

NPI 1023010337

MSNFNP

Dr. Syed Anwar , MD

Internal Medicine

NPI 1053314401

Doctor of Medicine (M.D.)

Jacqueline Martin , RN

Registered Nurse

NPI 1083778161

Registered Nurse

Elizabeth Green , FNP-C

Nurse Practitioner - Family

NPI 1093715443

Family Nurse Practitioner (Certified)

Dr. Absar Qureshi , MD

Internal Medicine

NPI 1134270309

Doctor of Medicine (M.D.)

Dr. William George , MD

Internal Medicine

NPI 1144229659

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 04, 2022

Record deactivated on August 04, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3570 COLLEGE ST, STE 200, BEAUMONT, TX 777014679 (Tel: 4098339797)

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Updated Business Mailing Address July 08, 2007

Registered at 3570 COLLEGE ST, STE 200, BEAUMONT, TX 777014679 (Tel: 4098339797)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARCO CASELLI, M. D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #J1597 in TX)

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Initial NPI Registration & Enumeration May 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932102373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2005
Last Update: July 08, 2007
Deactivation Date: August 04, 2022

Mailing Address

3570 College St, Ste 200

Beaumont, TX 777014679

Phone: 4098339797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.