Individual provider Active NPI

Melissa Michelle Koshel, D.O.

  • Anesthesiology Physician
  • Tacoma, WA
National Provider Identifier
1265683346
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OP60162935 Issued in WA
Practice address
1717 S J St
Tacoma, WA 98405-4933
Phone
(253) 985-6403
Fax
(253) 985-6879
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4013 IA
Anesthesiology Physician 207L00000X OP60162935 WA Primary

Addresses

Primary practice location

1717 S J St
Tacoma, WA 98405-4933

Mailing address

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 985-6403

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2633

Other practice location 2

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 985-6403

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mkoshel271497@fhsce.catholichealth.net
Direct Messaging Address mkoshel271497@fhsce.catholichealth.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, WA, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111104000281 HI Practitioner - Anesthesiology 2961556873 Reassigns benefits to 1 organization
I20180215001307 WA Practitioner - Anesthesiology 2961556873 Reassigns benefits to 2 organizations
I20221107003336 MT Practitioner - Anesthesiology 2961556873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9800 Levin Rd NW
Suite 102
Silverdale, WA 98383-7849
Phone (360) 692-2728

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Family Medicine CurrentSince Sep 26, 2022 Accepting new patients
The Anesthesia Medical Group Inc Anesthesiology CurrentSince Dec 1, 2019 Accepting new patients
Anesiq LLC Anesthesiology CurrentSince Nov 17, 2025 Accepting new patients
Billings Clinic CurrentSince Sep 26, 2022 Accepting new patients
Pacific Anesthesia PC Anesthesiology CurrentSince Feb 1, 2018 Accepting new patients
Anesthesia Relief LLC Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

11808 Northup Way
Ste W300
Bellevue, WA 98005
Phone (425) 284-1545

9800 Levin Rd NW
Ste 102
Silverdale, WA 98383
Phone (360) 692-2728

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

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.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1265683346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993004",
            "telephone_number": "253-985-6403",
            "fax_number": "253-985-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933",
            "telephone_number": "253-985-6403",
            "fax_number": "253-985-6879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2633",
            "fax_number": "319-356-2940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11315 Bridgeport Way SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984993004",
            "country_code": "US",
            "telephone_number": "253-985-6403",
            "fax_number": "253-985-2948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSHEL",
        "first_name": "MELISSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "4013",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "OP60162935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkoshel271497@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "11315 Bridgeport Way SW",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkoshel271497@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "1717 S J St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984054933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.