DR. DENNIS D MAURICIO (MD) – Obstetrics & Gynecology Physician, NPI 1063675056

DR. DENNIS D MAURICIO (MD) is a healthcare provider. based in Enumclaw, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD60339282 (WA). The NPI Number for DR. DENNIS D MAURICIO (MD) is 1063675056

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. DENNIS D MAURICIO (MD)
NPI
1063675056
Phone
(360) 802-5760
Address
1818 Cole St
Enumeration Date
9 July 2008
Last Update Date
8 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076511000
Graduation Year
1998 (28 years ago)
PAC ID
0345314696
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20160729001130
Address ID
CA945892441VA975XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:17State licenses:4Digital endpointsOther names

1,037 OBSTETRICS/GYNECOLOGY in WA

Provider Addresses for DR. DENNIS D MAURICIO (MD)

  • 1818 Cole St

    Enumclaw, WA 980223504

    Phone: (360) 802-5760

    Fax: (360) 802-5799

    Type: Location

  • 1000 Montauk Hwy

    West Islip, NY 11795

    Phone: (631) 376-4163

    Fax: (631) 376-3420

    Type: Location

  • 4801 Alberta Ave

    El Paso, TX 799052707

    Phone: (915) 215-5000

    Fax: (915) 215-8662

    Type: Location

  • Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States

    NEW HAVEN, CT 065103220

    Phone: (203) 688-4242

    Type: Mailing

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: 2022-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160729001130IObstetrics/GynecologyCATBD
I20220921001746IObstetrics/GynecologyTXTBD

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 98022)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DENNIS D MAURICIO (MD)?
DR. DENNIS D MAURICIO (MD) — NPI 1063675056 — is the standard way to identify this listing.
Is DR. DENNIS D MAURICIO (MD) still practicing?
DR. DENNIS D MAURICIO (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. DENNIS D MAURICIO (MD) hold?
Scheduling teams often label DR. DENNIS D MAURICIO (MD) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DENNIS D MAURICIO (MD) on a map?
Expect Enumclaw, Washington as a primary anchor for DR. DENNIS D MAURICIO (MD) unless the record lists multiple sites.
Why does DR. DENNIS D MAURICIO (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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