Mikiko Demura Marzilli, MS LD
NPI 1205373578ActiveIndividual· Dietitian, Registered· Bangor, ME
Dietitian, Registered (MS LD) with Eastern Maine Medical Center, practicing in Bangor, Maine. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional. Lists Northern Light Eastern Maine Medical Center as a hospital affiliation.
Overview
| NPI | 1205373578 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS LD |
| Sole proprietor | Yes |
| NPI issued | Jan 25, 2017 |
| Last updated in NPPES | Jan 25, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | TD1334 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (ME) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Eastern Maine Medical CenterBangor, ME · 624 clinicians
Hospital affiliation
Other registered dietitians in Bangor
- 1033130414
- 1043830904
- 1538004403
- 1255678553
- 1578800397
- 1588813513
- 1679904130
- 1740510759
- 1922352152
- 1447585252
- 1902827207
- 1508149964
All 28 registered dietitians in Bangor · All registered dietitians in Maine