Active NPI
Michael Eric Janssen, MD
- Internal Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60344899
- Practice address
- 5350 Tallman Ave NW
Suite 301
Seattle, WA 98107-5902 - Phone
- (206) 320-3335
- Fax
- (206) 320-8027
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | RT-1351 | NH | |
| Internal Medicine Physician | 207R00000X | TL1017 | WY | |
| Internal Medicine Physician | 207R00000X | 13498 | NH | |
| Internal Medicine Physician | 207R00000X | MD60344899 | WA | Primary |
Addresses
Primary practice location
5350 Tallman Ave NW
Suite 301
Seattle, WA 98107-5902
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other practice location 1
500 17th Ave
Seattle, WA 98122-5711
Phone (206) 320-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194804161 | Medicaid | WY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mjanssen1042018@wm.providencedirect.org | Direct | |
| Direct Messaging Address | mjanssen1042018@wm.providencedirect.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
5350 Tallman Ave NW
Suite 301
Seattle, WA 98107-5902
Phone (206) 320-3335
Hospital & facility affiliations
- Providence at Home With Compassus Home Health, King
- Evergreenhealth Home Care Services
- Swedish Medical Center
- Swedish Edmonds Hospital
- Swedish Medical Center / Cherry Hill
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 16 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13498 | NH | MD | Internal Medicine Physician |
| RT-1351 | NH | MD | Internal Medicine Physician |
| MD60344899 | WA | MD | Internal Medicine Physician |
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tukwila, WA
- NPI 1972325983
-
- Home Health Agency
- Kirkland, WA
- NPI 1588662761
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1194804161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-233-7489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 TALLMAN AVE NW",
"address_2": "SUITE 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075902",
"telephone_number": "206-320-3335",
"fax_number": "206-320-8027"
}
],
"practiceLocations": [
{
"address_1": "500 17th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225711",
"country_code": "US",
"telephone_number": "206-320-2230",
"fax_number": "206-320-3462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANSSEN",
"first_name": "MICHAEL",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "RT-1351",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WY",
"license": "TL1017",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "13498",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60344899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194804161",
"state": "WY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mjanssen1042018@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 17th Ave",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981225711",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mjanssen1042018@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5350 Tallman Ave NW",
"address_2": "Suite 301",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981075902",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.