Individual provider Active NPI

Mark K Piker, MD

  • Neurology Physician
  • Bellevue, WA
National Provider Identifier
1396898086
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD00046353 Issued in WA
Practice address
4140 Factoria Blvd SE Ste a
Bellevue, WA 98006-5261
Phone
(425) 655-0700
Fax
(425) 655-0800
NPI assigned
Jan 18, 2007
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD00046353 WA Primary

Addresses

Primary practice location

4140 Factoria Blvd SE Ste a
Bellevue, WA 98006-5261

Mailing address

4140 Factoria Blvd SE
Ste a
Bellevue, WA 98006-5261
Phone (425) 655-0700

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
I20070215000799 WA Practitioner - Neurology 3274535562 Reassigns benefits to 1 organization
Practice locations: Bellevue, WA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Arizona College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4140 Factoria Blvd SE
Suite a
Bellevue, WA 98006-5261
Phone (425) 655-0700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jan 6, 2020 Accepting new patients
Multicare Health System CurrentSince Jan 6, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Factoria Women & Family Clinic PastSince Dec 21, 2021 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7582/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1396898086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FACTORIA BLVD SE",
            "address_2": "STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065261",
            "telephone_number": "425-655-0700",
            "fax_number": "425-655-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FACTORIA BLVD SE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065261",
            "telephone_number": "425-655-0700",
            "fax_number": "425-655-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKER",
        "first_name": "MARK",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00046353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.