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MARY COLEMAN M.D.
NPI 1093743619
Pediatrics - Developmental - Behavioral Pediatrics in Tacoma, WA

Active since June 30, 2006PECOS Enrolled
5005 MAIN ST, TACOMA, TACOMA, WA 98407(925) 360-3102 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2025, Nov 13, 2015 (2 updates tracked since 2015).

About Mary Coleman M.d. NPPES

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

MARY COLEMAN M.D. (NPI 1093743619) is an individual developmental - behavioral pediatrics provider in Tacoma, Washington, licensed in California (G072907) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093743619
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameMARY COLEMANCredential: M.D.
Location Address5005 MAIN ST, TACOMATacoma, WA 98407-3168
Mailing Address1900 Garden Rd Ste 200Monterey, CA 93940-5334 · (833) 328-4523
Phone(925) 360-3102
Sole ProprietorYes
Enumeration DateJune 30, 2006
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1093743619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Licenses✔ Licensed in CA · G072907✔ Licensed in WA · MD60459088
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License MD60459088 (WA), G72907 (CA)
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License MD60459088 (WA)
5005 MAIN ST, Tacoma, WA 98407
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Other Identifiers 1

Medicaid00G729070CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Coleman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Coleman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Monterey
726 mi
Family Medicine
17615 MORO RD
Prunedale, CA 93907
  • Reassigned Medicare billing, California enrollment
  • 284 clinicians in this Medicare group
NPI 1063151363 (831) 663-3926
Southern Monterey County Memorial Hospital
769 mi
Critical Access
300 CANAL ST
King City, CA 93930
  • Reassigned Medicare billing, California enrollment
  • 156 clinicians in this Medicare group
NPI 1114917564 (831) 385-6000

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINE EMMA HEIDBREDER PHYSICIAN ASSISTANT
Physician Assistant
5005 MAIN ST, SUITE 125
TACOMA, WA 98407
Pierce County (253) 759-4522

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 Mary Coleman's NPI number?

The NPI number for Mary Coleman is 1093743619. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Mary Coleman located?

Mary Coleman practices at 5005 Main St Tacoma, Tacoma, WA 98407. The listed phone number is (925) 360-3102.

What is Mary Coleman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Mary Coleman enrolled in Medicare?

Yes. Mary Coleman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Coleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Coleman reassigns Medicare benefits to 2 organizations: County Of Monterey (Prunedale, CA) and Southern Monterey County Memorial Hospital (King City, CA). Each 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 Mary Coleman'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 Mary Coleman was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.