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MARC E GOTTLIEB M.D.
NPI 1275521635
Surgery - Plastic and Reconstructive Surgery in Phoenix, AZ

Active since October 10, 2005PECOS Enrolled
1012 E WILLETTA STREET, PHOENIX, AZ 85006(602) 839-6040(602) 839-4375 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marc E Gottlieb M.d. NPPES

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

MARC E GOTTLIEB M.D. (NPI 1275521635) is an individual plastic and reconstructive surgery provider in Phoenix, Arizona, licensed in Arizona (20039) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275521635
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMARC E GOTTLIEBCredential: M.D.
Location Address1012 E WILLETTA STREETPhoenix, AZ 85006
Mailing Address1012 E Willetta StreetPhoenix, AZ 85006 · (602) 839-6040 · Fax (602) 839-4375
Phone(602) 839-6040
Fax(602) 839-4375
Sole ProprietorNo
Enumeration DateOctober 10, 2005
Last NPPES UpdateJuly 1, 2016
✔ NPI 1275521635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in AZ · 20039
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1012 E WILLETTA STREET, Phoenix, AZ 85006
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Other Identifiers 3

Medicare UPINA50979
Medicare ID-Type UnspecifiedZMD20039
Medicaid053025AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc E Gottlieb 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.

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 Gottlieb's NPI number?

The NPI number for Marc Gottlieb is 1275521635. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Marc Gottlieb located?

Marc Gottlieb practices at 1012 E Willetta Street, Phoenix, AZ 85006. The listed phone number is (602) 839-6040.

What is Marc Gottlieb's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Marc Gottlieb enrolled in Medicare?

Yes. Marc Gottlieb is registered in the Medicare PECOS enrollment system.

What insurance does Marc Gottlieb accept?

Health plans from Blue Cross Blue Shield of Arizona list Marc Gottlieb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Gottlieb was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.