Individual provider Active NPI

Reald Markokaj, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1184406605
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61488221 Issued in WA
Practice address
4236 36TH Ave S
Seattle, WA 98118-1312
Phone
(206) 723-2820
NPI assigned
Oct 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61488221 WA Primary

Addresses

Primary practice location

4236 36TH Ave S
Seattle, WA 98118-1312

Mailing address

102 Bellflower Rd
Bothell, WA 98012-9162
Phone (206) 605-9188

Other identifiers 1

IdentifierTypeStateIssuer
CH61488221OtherWACHIROPRACTIC LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107002676 WA Practitioner - Chiropractic 2668829003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 N Olympic Ave
Peterson Family Chiropractic Clinic
Arlington, WA 98223-1244
Phone (360) 435-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61488221WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Chiropractic Clinic Chiropractor CurrentSince Aug 14, 2024 Accepting new patients
Rainier Valley Chiropractic PS Chiropractor CurrentSince Oct 25, 2023 Accepting new patients

Locations

415 N Olympic Ave
Arlington, WA 98223
Phone (360) 435-9200

4236 36th Ave S
Seattle, WA 98118
Phone (206) 723-2820

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.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1184406605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BELLFLOWER RD",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980129162",
            "telephone_number": "206-605-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 36TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181312",
            "telephone_number": "206-723-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOKAJ",
        "first_name": "REALD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61488221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE NUMBER",
            "identifier": "CH61488221",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.