AHMED MARZOUK (MBBCH, PA) – Physician Assistant, NPI 1184093502
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for AHMED MARZOUK (MBBCH, PA)
4311 11TH AVE NE
SUITE 200
SEATTLE, WA 981056366
Phone: (206) 616-4001
Type: Location
4100 194th St SW
Lynnwood, WA 980364613
Phone: (425) 403-2904
Type: Location
200 Corporate Blvd
Lafayette, LA 705083870
Phone: (800) 893-9698
Type: Location
400 W Mineral King Ave
Visalia, CA 932916237
Phone: (559) 624-2000
Type: Location
4311 11th Ave NE
Suite 200
Seattle, WA 981056366
Phone: (206) 616-4001
Type: Location
2100 POWELL ST
EMERYVILLE, CA 946081826
Phone: (510) 350-2500
Type: Location
4111 194TH ST SW
LYNNWOOD, WA 980364604
Phone: (425) 835-5200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2017-10-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161128001770 | I | Physician Assistant | CA | TBD |
| I20171031003432 | I | Physician Assistant | WA | TBD |
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.
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 98105)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT | |
| Nurse Practitioner | AL | |
| Physician Assistant | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| Family Practice | UT | |
| Internal Medicine | WA | |
| - | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.