Individual provider Active NPI

Mark A. Weinreich, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Seattle, WA
National Provider Identifier
1275685596
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD60737701 Issued in WA
Practice address
1959 NE Pacific St Box 356522
Seattle, WA 98195-6522
Phone
(206) 616-8378
Fax
(206) 685-8673
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60737701 WA
Physical Therapist 225100000X PT00010168 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD60737701 WA Primary

Addresses

Primary practice location

1959 NE Pacific St Box 356522
Seattle, WA 98195-6522

Mailing address

1959 NE Pacific St Box 356522
Seattle, WA 98195-6522

Other identifiers 2

IdentifierTypeStateIssuer
1275685596MedicaidWA
8492027MedicaidWA

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
I20190312001222 WA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9830282904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

1231 116TH Ave NE
Suite 400
Bellevue, WA 98004-3804
Phone (425) 289-3100

Hospital & facility affiliations

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
MD60737701WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics, LLC CurrentSince Jul 13, 2020 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Jul 13, 2020 Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients
Overlake Medical Center & Clinics Past Accepting new patients

Locations

1231 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 289-3100

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777

1550 N 115th St
Shoreline, WA 98133
Phone (206) 364-0500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1275685596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST BOX 356522",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST BOX 356522",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956522",
            "telephone_number": "206-616-8378",
            "fax_number": "206-685-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINREICH",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60737701",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010168",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD60737701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275685596",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8492027",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.