Active NPI
Maymoona Attiyat, MD
- Trauma Surgery Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- MD61559961
- Practice address
- 1321 Colby Ave
Everett, WA 98201-1665 - Phone
- (425) 404-8227
- NPI assigned
- Jul 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN23218 | FL | |
| Trauma Surgery Physician | 2086S0127X | MD61559961 | WA | Primary |
| Surgery Physician | 208600000X | 75048 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 18675 | FL |
Addresses
Primary practice location
1321 Colby Ave
Everett, WA 98201-1665
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (425) 404-8227
Other practice location 1
1611 NW 12th Ave
general surgery department , division of trauma
Miami, FL 33136-1005
Phone (305) 585-1152
Other practice location 2
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, WA
- 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
- General Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000
4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.26 of 100
- Quality
- 84.3
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75048 | WI | MD | Surgery Physician |
| 18675 | FL | MD | Student in an Organized Health Care Education/Training Program |
| TRN23218 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Providence Health & Services-Wa | Past | Accepting new patients |
Locations
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
Organizations & group practices 3
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.
-
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- Internal Medicine Physician
- Everett, WA
- NPI 1902057029
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1437591583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "425-404-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011665",
"telephone_number": "425-404-8227"
}
],
"practiceLocations": [
{
"address_1": "1611 NW 12th Ave",
"address_2": "general surgery department , division of trauma",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-585-1152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "835 S Van Buren St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543013526",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATTIYAT",
"first_name": "MAYMOONA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN23218",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "WA",
"license": "MD61559961",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "75048",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "18675",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.