Individual provider Active NPI

Mark R Vossler, MD

  • Cardiovascular Disease Physician
  • Kirkland, WA
National Provider Identifier
1003924630
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
40745 Issued in WA
Practice address
12333 NE 130TH Lane
#320
Kirkland, WA 98034-3039
Phone
(425) 899-0555
Fax
(425) 899-1333
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 40745 WA Primary

Addresses

Primary practice location

12333 NE 130TH Lane
#320
Kirkland, WA 98034-3039

Mailing address

12333 NE 130TH Lane
#320
Kirkland, WA 98034-3039
Phone (425) 899-0555

Other identifiers 1

IdentifierTypeStateIssuer
BV 3232078MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000680 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880632454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40745WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Alix Dufresne, MD PC PastSince Mar 1, 2002 Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12333 NE 130th Ln
Ste 320
Kirkland, WA 98034
Phone (206) 899-0555

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12303 NE 130th Ln
Ste 225
Kirkland, WA 98034
Phone (425) 899-3890

12822 124th Ln NE
Kirkland, WA 98034
Phone (425) 899-1040

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1003924630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12333 NE 130TH LANE",
            "address_2": "#320",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343039",
            "telephone_number": "425-899-0555",
            "fax_number": "425-899-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12333 NE 130TH LANE",
            "address_2": "#320",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343039",
            "telephone_number": "425-899-0555",
            "fax_number": "425-899-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSSLER",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "40745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BV 3232078",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.