CLIFFORD T MAURIELLO MD
NPI 1366604878
Pediatrics - Pediatric Infectious Diseases in Fargo, ND

Q: What is Clifford Mauriello's NPI number?

The NPI number for Clifford Mauriello is 1366604878. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Q: What is Clifford Mauriello's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Active since June 26, 2008PECOS Enrolled

801 BROADWAY N, FARGO, ND 58102(701) 234-2000(701) 234-2345 Get Directions Write a Review

NPPES record last updated: November 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 20, 2021, Jan 23, 2020 (2 updates tracked since 2020).

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About Clifford T Mauriello Md NPPES

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

CLIFFORD T MAURIELLO MD (NPI 1366604878) is an individual pediatric infectious diseases provider in Fargo, North Dakota, licensed in Virginia (0101247229) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366604878

Entity TypeIndividualMale

Primary Taxonomy2080P0208X

Provider Legal NameCLIFFORD T MAURIELLOCredential: MD

Location Address801 BROADWAY NFargo, ND 58102-3641

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 234-2000

Fax(701) 234-2345

Sole ProprietorNo

Enumeration DateJune 26, 2008

Last NPPES UpdateNovember 20, 20212 updates tracked since enumeration

NPPES CertifiedNovember 20, 2021

✔ NPI 1366604878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

Licenses✔ Licensed in VA · 0101247229✔ Licensed in MN · 56374✔ Licensed in ND · 12553

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

801 BROADWAY N, Fargo, ND 58102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and more.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)

Clifford T Mauriello Md 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.

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.

MARK F FISHER MD

Radiology (Diagnostic Radiology)