NICHOLAS PELLICCIO MD – NPI #1598297244
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

NICHOLAS PELLICCIO is a surgeon located in MEMPHIS, TN. NPPES has assigned the NPI number 1598297244 to NICHOLAS PELLICCIO on March 31, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Jul 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS PELLICCIO below.

NPI Profile for
NICHOLAS PELLICCIO

NPI Number
1598297244
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS PELLICCIO
Credentials
MD
Primary location
6025 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120-2123
Phone: (901) 226-0458 Fax:
2 Other location(s):
8138 Country Village Dr
Cordova, TN 38016-2029
Phone: (901) 725-8606
2100 Exeter Rd
Germantown, TN 38138-3966
Phone: (901) 757-1350
Mailing address
965 RIDGE LAKE BLVD
MEMPHIS, TN 38120-9401
Phone: (901) 227-4692 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jul 28, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 MS 33099
208600000X
- Surgery		 MS 33099

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT - Graduated 2017
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.