Individual provider Active NPI

Maikha Jean-Baptiste, M.D.

  • Family Medicine Physician
  • Renton, WA
National Provider Identifier
1417310350
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61052759 Issued in WA
Practice address
3915 Talbot Rd S Ste 401
Renton, WA 98055-5738
Phone
(425) 690-3445
Fax
(425) 690-9445
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A152726 CA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD61052759 WA Primary

Addresses

Primary practice location

3915 Talbot Rd S Ste 401
Renton, WA 98055-5738

Mailing address

3915 Talbot Rd S Ste 401
Renton, WA 98055-5738
Phone (425) 690-2715

Other practice location 1

CSVS Sanborn Clinic
219 N Sanborn Road
Salinas, CA 93905
Phone (831) 757-1365

Other practice location 2

8910 Vernon Rd
Lake Stevens, WA 98258-2400
Phone (425) 397-1704

Other identifiers 1

IdentifierTypeStateIssuer
2166735MedicaidWA

Other names 1

  • Maikha Jeanlione Former name

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
I20201002001359 WA Practitioner - Family Practice 6103173828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

3915 Talbot Rd S
Suite 401
Renton, WA 98055-5738
Phone (425) 656-4224

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A152726CAMDFamily Medicine Physician
MD61052759WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC Family Medicine CurrentSince Sep 28, 2020 Accepting new patients
Valley Medical Group-Renton Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Sep 28, 2020 Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients
Clinica de Salud del Valle de Salinas Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

8910 Vernon Rd
Lake Stevens, WA 98258
Phone (425) 397-1700

3600 Lind Ave SW
Ste 100
Renton, WA 98057

3915 Talbot Rd S
Ste 401
Renton, WA 98055
Phone (425) 656-4224

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • Direct secure messaging: maikha.jeanbaptiste.p1@direct.csvs.nextgenshare.com
  • Direct secure messaging: mjeanbaptiste95269@direct.valleymed.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1417310350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 TALBOT RD S STE 401",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555738",
            "telephone_number": "425-690-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 TALBOT RD S STE 401",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555738",
            "telephone_number": "425-690-3445",
            "fax_number": "425-690-9445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CSVS Sanborn Clinic",
            "address_2": "219 N Sanborn Road",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "93905",
            "country_code": "US",
            "telephone_number": "831-757-1365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8910 Vernon Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Stevens",
            "state": "WA",
            "postal_code": "982582400",
            "country_code": "US",
            "telephone_number": "425-397-1704",
            "fax_number": "425-335-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "MAIKHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A152726",
            "primary": false
        },
        {
            "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": "MD61052759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166735",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAIKHA",
            "last_name": "JEANLIONE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.