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DR. MARC D PELLICCIARO M.D.
NPI 1962575951
Psychiatry & Neurology - Addiction Medicine in Bellevue, WA

Active since November 16, 2006
12729 NORTHUP WAY STE 6, BELLEVUE, WA 98005(425) 467-1000(425) 467-0100 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2019, Mar 4, 2019, May 16, 2018 (3 updates tracked since 2018).

About Dr. Marc D Pellicciaro M.d. NPPES

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

DR. MARC D PELLICCIARO M.D. (NPI 1962575951) is an individual addiction medicine provider in Bellevue, Washington, licensed in Washington (MD 00036813) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1962575951
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameDR. MARC D PELLICCIAROCredential: M.D.
Location Address12729 NORTHUP WAY STE 6Bellevue, WA 98005-1935
Mailing Address12729 Northup Way Ste 6Bellevue, WA 98005-1935 · (425) 467-1000 · Fax (425) 467-0100
Phone(425) 467-1000
Fax(425) 467-0100
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateApril 17, 20193 updates tracked since enumeration
✔ NPI 1962575951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in WA · MD 00036813
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
12729 NORTHUP WAY STE 6, Bellevue, WA 98005
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Other Identifiers 1

MedicaidMD2652AK

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

MAGNOLIA PSYCHIATRY, LLC
Psychiatry & Neurology (Addiction Psychiatry)
12729 NORTHUP WAY STE 6
BELLEVUE, WA 98005
King County (425) 467-1000

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 Pellicciaro's NPI number?

The NPI number for Marc Pellicciaro is 1962575951. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Marc Pellicciaro located?

Marc Pellicciaro practices at 12729 Northup Way Ste 6, Bellevue, WA 98005. The listed phone number is (425) 467-1000.

What is Marc Pellicciaro's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

What insurance does Marc Pellicciaro accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Marc Pellicciaro 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 Pellicciaro was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.