Individual provider Active NPI

Mary Kathryn Starkebaum, M.D.

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1366490674
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00017604 Issued in WA
Practice address
6800 E Greenlake Way N
#200
Seattle, WA 98115-5491
Phone
(206) 524-5656
Fax
(206) 524-2841
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00017604 WA Primary

Addresses

Primary practice location

6800 E Greenlake Way N
#200
Seattle, WA 98115-5491

Mailing address

6800 E Greenlake Way N
#200
Seattle, WA 98115-5491
Phone (206) 524-5656

Other identifiers 1

IdentifierTypeStateIssuer
1316801MedicaidWA

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
I20160126002557 WA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3274555438

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospital Past Accepting new patients

Organizations & group practices 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366490674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E GREENLAKE WAY N",
            "address_2": "#200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155491",
            "telephone_number": "206-524-5656",
            "fax_number": "206-524-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 E GREENLAKE WAY N",
            "address_2": "#200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155491",
            "telephone_number": "206-524-5656",
            "fax_number": "206-524-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKEBAUM",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00017604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316801",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.