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

Q: 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.

Q: 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.

Q: 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.

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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)