Individual provider Active NPI

Michael H Kody, M.D.

  • Orthopaedic Surgery Physician
  • Spokane, WA
National Provider Identifier
1407825599
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1068238 Issued in WA
Practice address
601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone
(509) 344-2663
Fax
(509) 624-9179
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00028886 WA
Orthopaedic Surgery Physician 207X00000X 1068238 WA Primary

Addresses

Primary practice location

601 W 5TH Ave Ste 400
Spokane, WA 99204-2715

Mailing address

601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663

Other practice location 1

601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Phone (509) 344-8672

Other identifiers 12

IdentifierTypeStateIssuer
379109600OtherWAOWCP
0035776MedicaidMT
1408OtherWAGROUP HEALTH NW
8929876OtherWACRIME VICTIMS
0149068OtherWADEPT OF LABOR & INDUSTRIE
1068238MedicaidWA
200040944OtherWARR MEDICARE
000010004256OtherIDREGENCE BLUE SHIELD OF ID
4588KOOtherWAASURIS NW HEALTH
44347OtherIDHMO BLUE
KQ506OtherIDBLUE CROSS OF IDAHO
003783300MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 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
I20041206000375 ID Practitioner - Orthopedic Surgery 7719978378 Reassigns benefits to 1 organization
I20090910000629 WA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 7719978378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Virginia School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Orthopaedic Specialists PSGroup PAC ID 7113811654, 83 clinicians

Practice addresses (Care Compare)

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (509) 252-3959

601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663

Hospital & facility affiliations

  • Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
  • Lincoln Hospital Hospital, Davenport, WA, CCN 501305

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement64
Lower limb (leg) arthroscopy (minimally invasive joint repair)21
Upper limb (arm) arthroscopy (minimally invasive joint repair)98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1068238WAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopaedic Specialists, P.S. Orthopaedic Surgery CurrentSince Jul 1, 2001 Accepting new patients
Northwest Orthopaedic Specialists PS Orthopaedic Surgery CurrentSince Jul 1, 2001 Accepting new patients

Locations

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

601 W 5th Ave
Ste 100
Spokane, WA 99204
Phone (509) 343-3907

601 W 5th Ave
Ste 500
Spokane, WA 99204
Phone (509) 344-2663

Interoperability endpoints

  • Direct secure messaging: michael.kody.1@16598.direct.athenahealth.com

Organizations & group practices 2

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 5

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1407825599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE",
            "address_2": "SUITE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663",
            "fax_number": "509-624-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663",
            "fax_number": "509-624-9179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 5th Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042756",
            "country_code": "US",
            "telephone_number": "509-344-8672",
            "fax_number": "509-747-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODY",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00028886",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "1068238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "379109600",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035776",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH NW",
            "identifier": "1408",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8929876",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0149068",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068238",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200040944",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010004256",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NW HEALTH",
            "identifier": "4588KO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "44347",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "KQ506",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003783300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.