Individual provider Active NPI

Michael J Pawlik, M.D.

  • Diagnostic Radiology Physician
  • Kelso, WA
National Provider Identifier
1053547620
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60080581 Issued in WA
Practice address
700 Lincoln St Ste 100
Kelso, WA 98626-1062
Phone
(360) 425-5131
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60080581 WA Primary

Addresses

Primary practice location

700 Lincoln St Ste 100
Kelso, WA 98626-1062

Mailing address

700 Lincoln St Ste 100
Kelso, WA 98626-1062
Phone (360) 425-5131

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
I20091116000556 WA Practitioner - Diagnostic Radiology 1850439647 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.92 of 100Reported as individual
Quality
11.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 31, 2020 Accepting new patients
Peacehealth CurrentSince Mar 1, 2023 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 31, 2020 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 31, 2020 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 31, 2020 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 31, 2020 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 31, 2020 Accepting new patients
Peacehealth CurrentSince Mar 1, 2023 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 31, 2020 Accepting new patients

Locations

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

700 Lincoln St
Ste 100
Kelso, WA 98626
Phone (360) 425-5131

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

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

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

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1053547620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LINCOLN ST STE 100",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261062",
            "telephone_number": "360-425-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LINCOLN ST STE 100",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261062",
            "telephone_number": "360-425-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLIK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60080581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kelso, WA

Sources for this page

Verify at the official NPI Registry.