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

Mark Robert Nicolls, MD

Individual provider Pulmonary Disease Physician · NPI 1497845176

Mark Robert Nicolls, MD is a Pulmonary Disease in Stanford, California. Graduated from Stanford University School of Medicine in 1993, 33 years ago. Practices with Stanford Health Care, a 3,085-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
33
Trained at
Stanford University School of Medicine
Licensed in
CA, CO
In the registry since
2006
Specialties on file
2
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence G80438 (CA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 36125 (CO)

Record details

NPI number1497845176
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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