Individual provider Active NPI

Matthew E. Charlick, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Seattle, WA
National Provider Identifier
1184299588
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
DO.OP.70106184 Issued in WA
Practice address
3800 Montlake Blvd # 354060
Seattle, WA 98195-0007
Phone
(206) 598-3294
NPI assigned
May 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X DO.OP.70106184 WA Primary

Addresses

Primary practice location

3800 Montlake Blvd # 354060
Seattle, WA 98195-0007

Mailing address

3800 Montlake Blvd
Seattle, WA 98195-0007
Phone (206) 598-3294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210614001912 MI Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 3476953407

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1184299588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MONTLAKE BLVD",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950007",
            "telephone_number": "206-598-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MONTLAKE BLVD # 354060",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950007",
            "telephone_number": "206-598-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLICK",
        "first_name": "MATTHEW",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WA",
            "license": "DO.OP.70106184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.