Individual provider Active NPI

Matthew Arvid Cullenberg Markey-Crimp, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1366903171
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61156187 Issued in WA
Practice address
550 16TH Ave Ste 400
Seattle, WA 98122-5636
Phone
(206) 324-8484
Fax
(206) 320-8173
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD61156187 WA Primary

Addresses

Primary practice location

550 16TH Ave Ste 400
Seattle, WA 98122-5636

Mailing address

550 16TH Ave Ste 400
Seattle, WA 98122-5636
Phone (206) 324-8484

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
I20220722001652 WA Practitioner - Family Practice 3072842764 Reassigns benefits to 3 organizations
I20220909001436 TX Practitioner - Family Practice 3072842764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians

Practice addresses (Care Compare)

31833 B Gateway Ctr Blvd S
Federal Way, WA 98003-5616
Phone (253) 214-1920

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Pacmed Clinics CurrentSince Sep 12, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 5, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Swedish Health Services Family Medicine CurrentSince Feb 10, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 5, 2023 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 13, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 13, 2023 Accepting new patients
Pacmed Clinics Current Accepting new patients
Pacmed Clinics CurrentSince Sep 12, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Seattle Indian Health Board Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Seattle Indian Health Board CurrentSince Aug 15, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

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

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

31833 Gateway Center Blvd S
#B
Federal Way, WA 98003
Phone (253) 214-1920

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

550 16th Ave
Ste 400
Seattle, WA 98122
Phone (206) 320-2233

611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360

124 2nd Ave S
Seattle, WA 98104
Phone (206) 292-6214

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

550 16th Ave
Ste 100
Seattle, WA 98122
Phone (206) 299-1900

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

Interoperability endpoints

  • Direct secure messaging: mamarkeycrimp@direct.kodiakhealthcare.org

Organizations & group practices 30

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.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1366903171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH AVE STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225636",
            "telephone_number": "206-324-8484",
            "fax_number": "206-320-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 16TH AVE STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225636",
            "telephone_number": "206-324-8484",
            "fax_number": "206-320-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKEY-CRIMP",
        "first_name": "MATTHEW",
        "middle_name": "ARVID CULLENBERG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61156187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.