Individual provider Active NPI

Malik F. Fuimaono, MD

  • Internal Medicine Physician
  • Mount Vernon, WA
National Provider Identifier
1487884573
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60095480 Issued in WA
Practice address
1415 E. Kincaid Street
Mount Vernon, WA 98274
Phone
(360) 416-5750
Fax
(360) 416-5758
NPI assigned
Jul 23, 2009
Last updated
Nov 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60095480 WA Primary
Hospitalist Physician 208M00000X MD6009580 WA
Hospitalist Physician 208M00000X MD60095480 WA

Addresses

Primary practice location

1415 E. Kincaid Street
Mount Vernon, WA 98274

Mailing address

1400 E. Kincaid Street
Mount Vernon, WA 98274-4127
Phone (360) 428-2500

Other identifiers 1

IdentifierTypeStateIssuer
263620OtherWALABOR & INDUSTRIES

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
I20090929000655 WA Practitioner - HospitalistPractitioner - Internal Medicine 7113063413 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60095480WAMDInternal Medicine Physician
MD6009580WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 14, 2013 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince May 16, 2013 Accepting new patients
Hospitalist Medicine Physicians of California-San Bernardino, PC Internal Medicine CurrentSince Jan 20, 2020 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of California - San Leandro, PC Internal Medicine CurrentSince Jan 13, 2020 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 14, 2013 Accepting new patients
Optum Care Washington PLLC Internal Medicine CurrentSince May 16, 2013 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-5600

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

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

900 Pacific Ave
Fl 1
Everett, WA 98201
Phone (425) 258-7311

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

300 Hospital Pkwy
Mount Vernon, WA 98274
Phone (360) 428-2166

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: mfuimaono12627@skagit.direct-ci.com

Organizations & group practices 12

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.

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1487884573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E. KINCAID STREET",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-428-2500",
            "fax_number": "360-428-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E. KINCAID STREET",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98274",
            "telephone_number": "360-416-5750",
            "fax_number": "360-416-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUIMAONO",
        "first_name": "MALIK",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60095480",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD6009580",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60095480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "263620",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.