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

Niccolo Alexander Marcaccio

Individual provider Physician Assistant · NPI 1588453930

Niccolo Alexander Marcaccio is a Physician Assistant in Raleigh, North Carolina. Qualified in 2025, 1 year ago. Practices with Raleigh Radiology Associates Inc, a 59-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
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Practice location Address checks out

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone: (919) 781-1437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15817 (NC)

Record details

NPI number1588453930
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Raleigh Radiology Associates Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Raleigh