Michael Larson, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MD61132741 Issued in WA

Practice address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748

Phone

(425) 563-1500

Fax

(425) 563-1501

NPI assigned

May 7, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, WA, NE3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Interventional Radiology

Education

Creighton University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Regional West Medical CenterGroup PAC ID 1759285885, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
• Morrill County Community Hospital Hospital, Bridgeport, NE, CCN 281318
• Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
• Community Hospital Hospital, Torrington, WY, CCN 531307
• Chadron Hospital Hospital, Chadron, NE, CCN 281341

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.larson.p13@direct.vac.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional West Medical Center

  • Emergency Medicine Physician
  • Scottsbluff, NE
  • NPI 1982718219

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Regional West Physicians Clinic

  • Family Medicine Physician
  • Scottsbluff, NE
  • NPI 1306910534
  Medicare reassignment Care Compare group NPD
• Evergreen Radia LLC

  dba Evergreen Radia

  • Diagnostic Radiology Physician
  • Kirkland, WA
  • NPI 1922095694
  Medicare reassignment NPD
• Radia Imaging Center Holdings LLC

  dba Seattle Radiology

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1639653017
  Medicare reassignment NPD
• South Sound Radiologists Inc P S

  dba South Sound Radiology

  • Diagnostic Radiology Physician
  • Olympia, WA
  • NPI 1902990500
  Medicare reassignment NPD
• Swedish Radia Imaging Center at Edmonds LLC

  dba Swedish Radia Edmonds

  • Diagnostic Radiology Physician
  • Edmonds, WA
  • NPI 1164494373
  Medicare reassignment NPD
• Wenatchee Valley Hospital

  • Multi-Specialty Clinic/Center
  • Wenatchee, WA
  • NPI 1669719688
  Medicare reassignment NPD
• Box Butte General Hospital

  • Critical Access Hospital
  • Alliance, NE
  • NPI 1811929060
  Medicare reassignment NPD
• Radia Inc P S

  dba Radia

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607
  Medicare reassignment
• Vascular Access Center of New Orleans, LLC

  dba Endovascular Health Services of New Orleans

  • Vascular & Interventional Radiology Physician
  • Metairie, LA
  • NPI 1609034396
  Medicare reassignment
• Radia Inc P S

  dba Radia

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1700045572
  NPD
• Uchealth Imaging Services LLC

  • Radiology Clinic/Center
  • Denver, CO
  • NPI 1528681913
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Box Butte General Hospital

  • Critical Access Hospital
  • Alliance, NE
  • NPI 1811929060
  Care Compare affiliation
• Chadron Community Hospital Corp.

  dba Chadron Community Hospital and Health Services

  • Critical Access Hospital
  • Chadron, NE
  • NPI 1467675629
  Care Compare affiliation
• Community Hospital

  • Critical Access Hospital
  • Torrington, WY
  • NPI 1669410643
  Care Compare affiliation
• Morrill County Community Hospital

  • Critical Access Hospital
  • Bridgeport, NE
  • NPI 1609816149
  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1003251836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "31659",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61132741",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "TL5660",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0061931",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD61132741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Larrondo, D.D.S.
• Cynthia Marie Larsen, OTR/L
• Diana Larsen, LMP
• Monica Gayle Larsen, MSW
• Ryan Larsen, LICSW
• Timothy Leigh Larson, MD
• Lauren Jessica Latham
• Leigh Anne Nicole Latimer
• Dudley Lau, PHARM.D.
• Emily Tasha Lau, ARNP

• Vascular & Interventional Radiology Physician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Vascular & Interventional Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.