Individual provider Active NPI

Kristin Marie Mantei, MD

  • Hematology (Pathology) Physician
  • Seattle, WA
National Provider Identifier
1285743054
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X
License
ML20007389 Issued in WA
Practice address
1229 Madison St Ste 500
Seattle, WA 98104-1305
Phone
(206) 386-2822
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X ML20007389 WA Primary

Addresses

Primary practice location

1229 Madison St Ste 500
Seattle, WA 98104-1305

Mailing address

1229 Madison St Ste 500
Seattle, WA 98104-1305
Phone (206) 386-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071126000476 WA Practitioner - Pathology 4486742590 Reassigns benefits to 2 organizations
I20190605000476 AK Practitioner - Pathology 4486742590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cellnetix Pathology PLLCGroup PAC ID 8224062971, shared by 3 NPIs, 58 clinicians

Practice addresses (Care Compare)

2490 S Woodworth Loop
Suite 410
Palmer, AK 99645-7411
Phone (807) 745-8100

800 W 5TH Ave
Spokane, WA 98204-2803
Phone (509) 458-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML20007389WAMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cellnetix Pathology, PLLC Hematology Current Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Cellnetix Pathology, PLLC Hematology CurrentSince Apr 6, 2019 Accepting new patients
Cellnetix Pathology, PLLC CurrentSince Nov 1, 2004 Accepting new patients
The Polyclinic PLLC CurrentSince Sep 1, 2012 Accepting new patients
Cellnetix Pathology, PLLC Hematology CurrentSince Nov 1, 2004 Accepting new patients

Locations

2490 S Woodworth Loop
Ste 410
Palmer, AK 99645
Phone (807) 745-8100

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1145 Broadway
Seattle, WA 98122

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

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

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 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1285743054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041305",
            "telephone_number": "206-386-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041305",
            "telephone_number": "206-386-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTEI",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "WA",
            "license": "ML20007389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.