Active NPI
David Michael, MD
- Internal Medicine Physician
- Everett, WA
National Provider Identifier
1083293559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD61611044
- Practice address
- 8609 Evergreen Way
Everett, WA 98208-2619 - Phone
- (425) 382-4000
- NPI assigned
- Apr 3, 2021
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 169401 | FL | |
| Internal Medicine Physician | 207R00000X | 33282501 | NY | |
| Internal Medicine Physician | 207R00000X | MD61611044 | WA | Primary |
Addresses
Primary practice location
8609 Evergreen Way
Everett, WA 98208-2619
Mailing address
48 Bell Dr
Highland, NY 12528-1608
Other practice location 1
45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone (845) 790-2085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169401 | FL | MD | Internal Medicine Physician |
| 33282501 | NY | MD | Internal Medicine Physician |
| MD61611044 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Snohomish County | Single Specialty | Current | Accepting new patients |
| Community Health Center of Snohomish County | Current | Accepting new patients |
Locations
1424 Broadway
Everett, WA 98201
Phone (425) 551-1000
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1083293559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 BELL DR",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125281608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082619",
"telephone_number": "425-382-4000"
}
],
"practiceLocations": [
{
"address_1": "45 Reade Pl",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126013947",
"country_code": "US",
"telephone_number": "845-790-2085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAEL",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "U",
"enumeration_date": "2021-04-03",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "169401",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "33282501",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61611044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.