Individual provider Active NPI

Makristy Caratao, M.D.

  • Family Medicine Physician
  • Kent, WA
National Provider Identifier
1174818421
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60463491 Issued in WA
Practice address
10413 SE 244TH St
Kent, WA 98030-4961
Phone
(253) 852-2770
Fax
(253) 852-6720
NPI assigned
Jun 15, 2011
Last updated
Mar 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60463491 WA Primary

Addresses

Primary practice location

10413 SE 244TH St
Kent, WA 98030-4961

Mailing address

10413 SE 244TH St
Kent, WA 98030-4961
Phone (253) 852-2770

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
I20141111000856 WA Practitioner - Family Practice 6507006244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easthill Medical Clinic LLCGroup PAC ID 4284958018, 2 clinicians

Practice addresses (Care Compare)

10413 SE 244TH St
Kent, WA 98030-4961
Phone (253) 852-2770

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Easthill Medical Clinic LLC CurrentSince Jan 11, 2015 Accepting new patients
East Hill Medical Clinic PastSince Jan 11, 2015 Accepting new patients

Locations

10413 SE 244th St
Kent, WA 98030
Phone (253) 852-2770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1174818421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 SE 244TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304961",
            "telephone_number": "253-852-2770",
            "fax_number": "253-852-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 SE 244TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304961",
            "telephone_number": "253-852-2770",
            "fax_number": "253-852-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARATAO",
        "first_name": "MAKRISTY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60463491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.