Michael J. Fadich, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00032835 Issued in WA

Practice address

1215 S Miller St
Wenatchee, WA 98801-3201

Phone

(509) 665-6087

Fax

(509) 665-6161

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Washington Health Services AssociationGroup PAC ID 4880504596, 708 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Washington Health Services Home health agency, Wenatchee, WA, CCN 507029
• Advanced Home Health NW of Wenatchee Home health agency, Wenatchee, WA, CCN 507113
• Central Washington Hospital Homecare Services Hospice, Wenatchee, WA, CCN 501516
• Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mfadich18119@edirect.chehr.org

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.

• Central Washington Health Services Association

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wenatchee, WA
  • NPI 1801937453
  Medicare reassignment Care Compare group NPD
• Wenatchee Valley Hospital

  • Multi-Specialty Clinic/Center
  • Wenatchee, WA
  • NPI 1669719688
  Medicare reassignment NPD
• Central Washington Health Services Association

  • General Acute Care Hospital
  • Wenatchee, WA
  • NPI 1881642239
  NPD
• Ozark Tri-County Health Care Consortium

  • Federally Qualified Health Center (FQHC)
  • Joplin, MO
  • NPI 1538151733
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Washington Health Services Association

  • General Acute Care Hospital
  • Wenatchee, WA
  • NPI 1306883228
  Care Compare affiliation
• Central Washington Health Services Association

  • Community Based Hospice Care Agency
  • Wenatchee, WA
  • NPI 1508978388
  Care Compare affiliation
• Central Washington Health Services Association

  • Home Health Agency
  • Wenatchee, WA
  • NPI 1699888024
  Care Compare affiliation
• Wenatchee Home Health LLC

  • Home Health Agency
  • Wenatchee, WA
  • NPI 1366962953
  Care Compare affiliation

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1447256433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013201",
            "telephone_number": "509-665-6087",
            "fax_number": "509-665-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013201",
            "telephone_number": "509-665-6087",
            "fax_number": "509-665-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADICH",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00032835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447256433",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01410333",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye & Ear Clinic of Wenatchee Inc
• Eye and Ear Clinic of Wenatchee Inc PS
• Eye and Ear Clinic of Wenatchee Inc PS
• Eye and Ear Clinic of Wenatchee Inc PS
• Martha Fadich
• Robert Snead Fain III, MD
• Courtni Denise Fairbanks, MA-R
• Miguel A Falcon, MSW
• Amanda Farias
• Briana Farmer, PA-C

• Family Medicine Physician in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.

Verify at the official NPI Registry.