MARC DAVID IKEDA M.D.
NPI 1083872196
Allergy & Immunology in Sacramento, CA

Q: What is Marc Ikeda's NPI number?

The NPI number for Marc Ikeda is 1083872196. It was assigned to this individual provider in the NPPES registry on May 26, 2008.

Q: What is Marc Ikeda's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Ikeda was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2008PECOS EnrolledAccepts Medicare Assignment

6600 BRUCEVILLE RD, MOB 3 - SUITE 233, SACRAMENTO, CA 95823(916) 627-7500 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marc David Ikeda M.d. NPPES

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

MARC DAVID IKEDA M.D. (NPI 1083872196) is an individual allergy & immunology provider in Sacramento, California, licensed in California (A105562) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2007).

NPPES Registry Identity

NPI1083872196

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameMARC DAVID IKEDACredential: M.D.

Location Address6600 BRUCEVILLE RD, MOB 3 - SUITE 233Sacramento, CA 95823-4671

Mailing Address6600 Bruceville Rd, Mob 3 - Suite 233Sacramento, CA 95823-4671

Phone(916) 627-7500

Sole ProprietorYes

Medical School CMSOhio State University College Of MedicineGraduated 2007

Enumeration DateMay 26, 2008

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1083872196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in CA · A105562

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License MT200406 (PA)

Also ListedPediatricsTaxonomy 208000000X · License A105562 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6600 BRUCEVILLE RD, Sacramento, CA 95823

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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

Marc David Ikeda 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 ID4688867633

PECOS Enrollment IDI20101021001475

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.

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.

SHANNON KENTERA CRNA

Nurse Anesthetist, Certified Registered