NICHOLAS PELLICCIO MD NPI 1598297244

NPI Information

  • NPI: 1598297244
  • Provider Name: NICHOLAS PELLICCIO, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6025 WALNUT GROVE RD STE 301
    MEMPHIS, TN
    ZIP 38120
  • Phone: (901) 226-0458

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NPI Details

Nicholas Pelliccio, MD is a vascular surgery surgery in Memphis, TN with 9 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Nicholas Pelliccio, MD NPI is 1598297244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2017

The provider's business location address is:

6025 WALNUT GROVE RD STE 301
MEMPHIS, TN
ZIP 38120-123
Phone: (901) 226-0458

The NPI 1598297244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2017 and was last updated on 7/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery33099MISSISSIPPINo
22086S0129XSurgeryVascular Surgery33099MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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