Individual provider Active NPI

Marybeth Arvidson Grazko, MD

  • Neurology Physician
  • Tacoma, WA
National Provider Identifier
1225002967
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD00042088 Issued in WA
Practice address
Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 98431
Phone
(253) 968-2252
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35351 NC
Neurology Physician 2084N0400X MD00042088 WA Primary

Addresses

Primary practice location

Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 98431

Mailing address

1600 E Jefferson St Ste 205
Seattle, WA 98122-5644
Phone (206) 386-2700

Other practice location 1

1600 E Jefferson St Ste 205
Seattle, WA 98122-5644
Phone (206) 386-2700

Other practice location 2

550 17th Ave Ste 440
Seattle, WA 98122-5788
Phone (206) 320-3278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgrazko1041781@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000620 WA Practitioner - Neurology 3173648037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

12303 NE 130TH LN
Suite 220
Kirkland, WA 98034-3060
Phone (425) 899-5335

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35351NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 CurrentSince Feb 1, 2021 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Feb 1, 2021 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Integra Imaging, PS CurrentSince Jan 1, 2013 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154

12040 NE 128th St
#50
Kirkland, WA 98034
Phone (425) 899-1894

12303 NE 130th Ln
Ste 220
Kirkland, WA 98034
Phone (425) 883-4988

1025 153rd St SE
Ste 100
Mill Creek, WA 98012
Phone (425) 316-0338

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

7205 265th St NW
Stanwood, WA 98292
Phone (360) 629-1100

Interoperability endpoints

  • Direct secure messaging: mgrazko1041781@wm.providencedirect.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 and National Provider Directory roles.

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1225002967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225644",
            "telephone_number": "206-386-2700",
            "fax_number": "206-386-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Jefferson St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225644",
            "country_code": "US",
            "telephone_number": "206-386-2700",
            "fax_number": "206-386-2703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 17th Ave Ste 440",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225788",
            "country_code": "US",
            "telephone_number": "206-320-3278",
            "fax_number": "206-320-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAZKO",
        "first_name": "MARYBETH",
        "middle_name": "ARVIDSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "35351",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00042088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgrazko1041781@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 17th Ave Ste 440",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.