Active NPI
Matthew Arvid Cullenberg Markey-Crimp, MD
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61156187
- 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
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
31833 B Gateway Ctr Blvd S
Federal Way, WA 98003-5616
Phone (253) 214-1920
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | 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 Corportion | Current | Accepting new patients | |
| Swedish Health Services | Family Medicine | 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 | |
| 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 | 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 | |
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Seattle Indian Health Board | Family Medicine | 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 Corportation | Current | Accepting new patients | |
| Seattle Indian Health Board | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1013061217
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1316012461
Family Medicine
-
- Family Medicine Physician
- Seattle, WA
- NPI 1720033145
-
- Multi-Specialty Clinic/Center
- Lynnwood, WA
- NPI 1477594356
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1922673367
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.