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MARC ZAFFERANI D.O.
NPI 1568812402
Pediatrics - Pediatric Critical Care Medicine in Boise, ID

Active since June 21, 2016PECOS Enrolled
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2900 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2022, May 4, 2022, Apr 19, 2019 and 1 more (4 updates tracked since 2016).

About Marc Zafferani D.o. NPPES

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

MARC ZAFFERANI D.O. (NPI 1568812402) is an individual pediatric critical care medicine provider in Boise, Idaho, licensed in Idaho (O-1664) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568812402
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameMARC ZAFFERANICredential: D.O.
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-2900
Sole ProprietorNo
Enumeration DateJune 21, 2016
Last NPPES UpdateJuly 7, 20224 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1568812402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in ID · O-1664
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License SH3107 (AZ), 5101022709 (MI), O-1664 (ID)
190 E BANNOCK ST, Boise, ID 83712
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11215 E Michigan AveLansing, MI 48912-1896 · Phone (517) 364-1000
Location 21919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (303) 819-8877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc Zafferani D.o. 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 Reassignment

Medicare enrollment records show Marc Zafferani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
Same address
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

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.

NORA M SUAREZ NP
Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
REBECCA WENSEL P.T.
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2138
JENNIFER WOODBURN
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
MURRY ODONNELL
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-7275
KAITLIN EDMINSTEN DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
ALLISON ELISABETH MAY
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. MICHAEL FREDERIC KRUG M.D.
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
HEATHER CAREW M.D.
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2645

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 Zafferani's NPI number?

The NPI number for Marc Zafferani is 1568812402. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Marc Zafferani located?

Marc Zafferani practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2900.

What is Marc Zafferani's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Marc Zafferani enrolled in Medicare?

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

Which organization bills Medicare for Marc Zafferani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Zafferani reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Zafferani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Zafferani accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Marc Zafferani 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 Zafferani was last updated on July 7, 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.