Individual provider Active NPI

Marc Alan Kirschner, M.D.

  • Neurology Physician
  • Seattle, WA
National Provider Identifier
1164458212
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
00034767 Issued in WA
Practice address
1536 N 115TH St
Suite 330
Seattle, WA 98133-8400
Phone
(206) 365-6771
Fax
(206) 365-2980
NPI assigned
Jun 23, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 00034767 WA Primary

Addresses

Primary practice location

1536 N 115TH St
Suite 330
Seattle, WA 98133-8400

Mailing address

1536 N 115TH St
Suite 330
Seattle, WA 98133-8400
Phone (206) 365-6771

Other identifiers 1

IdentifierTypeStateIssuer
1100734MedicaidWA

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
I20041105000376 WA Practitioner - Neurology 4587625512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1536 N 115TH St
Suite 300
Seattle, WA 98133-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00034767WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Sep 1, 2024 Accepting new patients
The Association of University Physicians CurrentSince Oct 29, 2019 Accepting new patients
University of Washington Current Accepting new patients
University of Washington CurrentSince Sep 1, 2024 Accepting new patients
Marc Alan Kirschner, MD, PS PastSince Oct 22, 2004 Accepting new patients
Summit Cardiology, P.S. Past Accepting new patients

Locations

1536 N 115th St
Ste 300
Seattle, WA 98133
Phone (206) 365-0111

1536 N 115th St
Ste 330
Seattle, WA 98133
Phone (206) 365-0111

1570 N 115th St
#14
Seattle, WA 98133
Phone (206) 365-0111

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 597-4414

1550 N 115th St
Shoreline, WA 98133
Phone (206) 364-0500

Interoperability endpoints

  • Direct secure messaging: mkirschner102918@direct.ehre.uwmedicine.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1164458212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 N 115TH ST",
            "address_2": "SUITE 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338400",
            "telephone_number": "206-365-6771",
            "fax_number": "206-365-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N 115TH ST",
            "address_2": "SUITE 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338400",
            "telephone_number": "206-365-6771",
            "fax_number": "206-365-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHNER",
        "first_name": "MARC",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "00034767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100734",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.