MARC DAVID IKEDA M.D.
NPI 1083872196
Allergy & Immunology in Sacramento, CA
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
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Marc Ikeda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SACRAMENTO, CA 95823
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Marc Ikeda located?
Marc Ikeda practices at 6600 Bruceville Rd Mob 3 - Suite 233, Sacramento, CA 95823. The listed phone number is (916) 627-7500.
What is Marc Ikeda's specialty?
The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.
Is Marc Ikeda enrolled in Medicare?
Yes. Marc Ikeda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Marc Ikeda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Ikeda reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Ikeda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Marc David Ikeda, M.D. · NPI 1083872196
Allergy & Immunology physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since May 26, 2008.
## Identity
- **NPI:** 1083872196 (Entity type: Individual)
- **Enumerated:** May 26, 2008
- **Primary specialty:** Allergy & Immunology · taxonomy 207K00000X
- **State license:** A105562 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6600 BRUCEVILLE RD, MOB 3 - SUITE 233, Sacramento, CA 95823-4671
- **Phone:** (916) 627-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2007
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083872196) · Data from the CMS NPPES public registry.