Michael David Alperin, MD
Individual provider Active NPI Family Medicine Physician · Eastsound, WA
NPI 1154445229 · NPPES record last updated Nov 21, 2017
Key facts
- NPI
- 1154445229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD60736493 (WA)
- Practice address
- 7 Deye LN
Eastsound, WA 98245-8578 - Phone
- (360) 376-2561
- Fax
- (360) 376-5183
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250121002919 | WA | Order and Referring Only - Family Practice |
6305823436 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20451 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Firstcare Medical Foundation | Family Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60736493 | WA | Yes |
Addresses
Primary practice location
7 Deye LN
Eastsound, WA 98245-8578
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154445229 | Medicaid | WA | |
| 171037 | Medicaid | OR |
Other providers in Eastsound, WA
- Aimee C. Ahrens
- Anne Winterbotham Allan
- Chama Teresa Anderson
- Alexandra Assaf
- Lydi V Ball
- Robin Myra Becker
- Beth Smith Nutrition, LLC
All providers in Eastsound, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.