MARY COLEMAN (M.D.) – Developmental - Behavioral Pediatrics Physician, NPI 1093743619

MARY COLEMAN (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in Developmental - Behavioral Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. MD60459088 (WA). The NPI Number for MARY COLEMAN (M.D.) is 1093743619

Main info

Female
Sole Proprietor
Name
MARY COLEMAN (M.D.)
NPI
1093743619
Phone
(925) 360-3102
Address
5005 MAIN ST
Enumeration Date
30 June 2006
Last Update Date
25 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for MARY COLEMAN (M.D.)

  • Copperline Apartments, 5005, Main Street, Tacoma, Pierce County, Washington, 98407, United States

    TACOMA

    TACOMA, WA 984073168

    Phone: (925) 360-3102

    Type: Mailing

  • 1900 GARDEN RD STE 200

    MONTEREY, CA 939405334

    Phone: (833) 328-4523

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Gilead Sciences, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$19
View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-02

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
I20150702001257IPediatric MedicineCATBD

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 98407)

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Reviews

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Frequently asked questions

What is the standard ID for MARY COLEMAN (M.D.) in the U.S.?
In the U.S., MARY COLEMAN (M.D.) is identified by NPI 1093743619.
Is MARY COLEMAN (M.D.)'s NPI status active today?
Active status means MARY COLEMAN (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret MARY COLEMAN (M.D.)'s specialty?
The extract shows Developmental - Behavioral Pediatrics Physician for MARY COLEMAN (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to MARY COLEMAN (M.D.)?
The directory associates MARY COLEMAN (M.D.) with Tacoma, Washington. Check all listed addresses for suites or satellite offices.
Who maintains MARY COLEMAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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