Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael R Piccioli, MD

Individual provider Pediatrics Physician · NPI 1205240330

Dr. Michael R Piccioli, MD is a Pediatric Medicine in Concord, Massachusetts. Graduated from Geisel School of Medicine at Dartmouth in 2014, 12 years ago. Practices with Emerson Practice Associates, Inc, a 247-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
12
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
MA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

133 Old Road To 9 Acre Cor
Concord, MA 01742-4159
Phone: (978) 287-3167
Fax: (978) 287-3391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence L-259661 (MA)

Record details

NPI number1205240330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2014
Last updated in NPPESOctober 14, 2022
Certification dateOctober 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 2014 (12 years in practice)
Group practice Emerson Practice Associates, Inc — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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