MARIA T ARAULLO-NAGANO (MD) – Family Medicine Physician, NPI 1205845849

MARIA T ARAULLO-NAGANO (MD) is a healthcare provider. based in Escanaba, Michigan. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301067313 (MI). The NPI Number for MARIA T ARAULLO-NAGANO (MD) is 1205845849

Main info

Female
52 Years Of Experience
Accepts Medicare Assignment
Name
MARIA T ARAULLO-NAGANO (MD)
NPI
1205845849
Phone
(906) 786-5707
Address
3409 LUDINGTON ST
Enumeration Date
5 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
1658416490
Group Practice PAC ID
5991604753
Professional Enrollment ID
I20100304000874
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARIA T ARAULLO-NAGANO (MD)

  • OSF Medical Office Building, 3409, Ludington Street, Escanaba, Delta County, Michigan, 49829, United States

    SUITE 104

    ESCANABA, MI 498294212

    Phone: (906) 786-5707

    Fax: (906) 789-4430

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100304000874IFamily PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49829)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991604753View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)MI
Pulmonary DiseaseMI
Medical Oncology, Internal MedicineWI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Physician AssistantWI
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)WI
Cardiovascular Disease (Cardiology)WI

Reviews

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Frequently asked questions

How do payers reference MARIA T ARAULLO-NAGANO (MD)?
For MARIA T ARAULLO-NAGANO (MD), use NPI 1205845849 as the unique 10-digit identifier.
Is there an active status for MARIA T ARAULLO-NAGANO (MD)?
For scheduling context, MARIA T ARAULLO-NAGANO (MD) is shown as active in the registry.
What area of care is associated with MARIA T ARAULLO-NAGANO (MD)?
MARIA T ARAULLO-NAGANO (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MARIA T ARAULLO-NAGANO (MD) associated with Escanaba?
Public fields place MARIA T ARAULLO-NAGANO (MD) around Escanaba, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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