Individual provider Active NPI

Michael J Battaglia II, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Renton, WA
National Provider Identifier
1023089752
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD00040962 Issued in WA
Practice address
1201 Monster Rd SW Ste 330
Renton, WA 98057-2996
Phone
(425) 429-7573
Fax
(206) 582-0820
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD00040962 WA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD00040962 WA Primary

Addresses

Primary practice location

1201 Monster Rd SW Ste 330
Renton, WA 98057-2996

Mailing address

1201 Monster Rd SW Ste 330
Renton, WA 98057-2996
Phone (425) 429-7573

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
I20090319000031 WA Practitioner - Orthopedic Surgery 3274690201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00040962WAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoulder Stability Orthopedics Orthopaedic Surgery CurrentSince Oct 21, 2025 Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients
Overlake Internal Medicine Laboratory PastSince Jul 25, 2019 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients

Locations

1201 Monster Rd SW
Ste 330
Renton, WA 98057
Phone (425) 429-7573

Interoperability endpoints

  • Direct secure messaging: michael.battaglia@1457.chartlogic.direct-ci.com

Organizations & group practices 4

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1023089752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MONSTER RD SW STE 330",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572996",
            "telephone_number": "425-429-7573",
            "fax_number": "206-582-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MONSTER RD SW STE 330",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572996",
            "telephone_number": "425-429-7573",
            "fax_number": "206-582-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAGLIA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00040962",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WA",
            "license": "MD00040962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.