Active NPI
Mark A. Skirgaudas, M.D.
- Diagnostic Radiology Physician
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60082335
- Practice address
- 11811 NE 128TH Street
Kirkland, WA 98034-7200 - Phone
- (425) 821-3472
- Fax
- (425) 820-4115
- NPI assigned
- Dec 20, 2005
- Last updated
- Dec 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 041299 | CT | |
| Diagnostic Radiology Physician | 2085R0202X | MD60082335 | WA | Primary |
Addresses
Primary practice location
11811 NE 128TH Street
Kirkland, WA 98034-7200
Mailing address
PO Box 94624
Seattle, WA 98124-6924
Phone (800) 634-4064
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A2516306 | Other | CT | OXFORD |
| 001412999 | Medicaid | CT | |
| 010041299CT01 | Other | CT | ANTHEM BC/BS |
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
- Diagnostic Radiology
- Education
- Yale University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 NE 100TH St
Suite 101
Seattle, WA 98125-8013
Phone (206) 524-5599
12112 115TH Ave NE
Suite B
Kirkland, WA 98034-6958
Phone (425) 821-3472
1301 4TH Ave NW
Suite 202
Issaquah, WA 98027-9371
Phone (425) 600-1054
1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817
Phone (425) 637-9729
220 SW 43Rd St
Renton, WA 98057-4936
Phone (425) 291-9191
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.57 of 100
- Quality
- 65.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Consultants of Washington, Inc., P.S. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Consultants of Washington, Inc., P.S. | Diagnostic Radiology | Current | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Past | Accepting new patients |
| Tolland Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1310 116th Ave NE
Ste E
Bellevue, WA 98004
Phone (425) 250-1145
3131 Nassau St
#102
Everett, WA 98201
Phone (425) 740-5000
12112 115th Ave NE
Kirkland, WA 98034
220 SW 43rd St
Renton, WA 98057
Phone (425) 291-9191
115 NE 100th St
Ste 101
Seattle, WA 98125
Phone (206) 524-5599
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.
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- Everett, WA
- NPI 1497914790
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- Kirkland, WA
- NPI 1124046057
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- Federal Way, WA
- NPI 1730156175
-
- Diagnostic Radiology Physician
- Tolland, CT
- NPI 1841470820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1316923535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94624",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981246924",
"telephone_number": "800-634-4064",
"fax_number": "952-513-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 NE 128TH STREET",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347200",
"telephone_number": "425-821-3472",
"fax_number": "425-820-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIRGAUDAS",
"first_name": "MARK",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "041299",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60082335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A2516306",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001412999",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010041299CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.