Individual provider Active NPI

Michael J. Wolfe, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Seattle, WA
National Provider Identifier
1346289865
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
MD00046392 Issued in WA
Practice address
515 Minor Ave Ste 140
Seattle, WA 98104-2138
Phone
(425) 775-6651
Fax
(425) 670-6718
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD00046392 WA
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X MD00046392 WA Primary

Addresses

Primary practice location

515 Minor Ave Ste 140
Seattle, WA 98104-2138

Mailing address

21911 76TH Ave W Ste 211
Edmonds, WA 98026-7918
Phone (425) 775-6651

Other practice location 1

21911 76th Ave W Ste 211
Edmonds, WA 98026-7918
Phone (425) 775-6651

Other identifiers 1

IdentifierTypeStateIssuer
1008229MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 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
I20060626000110 WA Practitioner - OtolaryngologyPractitioner - Neurology 5991605156 Reassigns benefits to 2 organizations
I20190311000457 TX Practitioner - OtolaryngologyPractitioner - Neurology 5991605156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Washington School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

515 Minor Ave
Suite 140
Seattle, WA 98104-2138
Phone (425) 775-6651

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00046392WAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons, Inc., P.S. CurrentSince Jan 3, 2023 Accepting new patients
Pacmed Clinics CurrentSince Jun 26, 2006 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 18, 2019 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jan 3, 2023 Accepting new patients
Pacmed Clinics CurrentSince Jun 26, 2006 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 18, 2019 Accepting new patients
Proliance Surgeons, Inc., P.S. Otolaryngology Past Accepting new patients
University Ear, Nose and Throat Specialists, Inc. Otolaryngology Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

21911 76th Ave W
Ste 211
Edmonds, WA 98026
Phone (253) 770-9000

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

515 Minor Ave
Ste 140
Seattle, WA 98104
Phone (206) 682-6103

Interoperability endpoints

  • Direct secure messaging: mwolfe1043654@wm.providencedirect.org
  • Direct secure messaging: michael.wolfemd.p46@direct.proliance.nextgenshare.com

Organizations & group practices 10

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 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1346289865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21911 76TH AVE W STE 211",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267918",
            "telephone_number": "425-775-6651",
            "fax_number": "425-670-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 140",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042138",
            "telephone_number": "425-775-6651",
            "fax_number": "425-670-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21911 76th Ave W Ste 211",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980267918",
            "country_code": "US",
            "telephone_number": "425-775-6651",
            "fax_number": "425-670-6718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00046392",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "WA",
            "license": "MD00046392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008229",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.