Active NPI
Vincent M. Koike, D.O.
- Family Medicine Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP00001265
- Practice address
- 7601 Evergreen Way, B-6
Everett, WA 98203 - Phone
- (425) 353-9191
- Fax
- (425) 353-0015
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00001265 | WA | Primary |
Addresses
Primary practice location
7601 Evergreen Way, B-6
Everett, WA 98203
Mailing address
14517 62ND Dr SE
Everett, WA 98208-9391
Phone (425) 337-5042
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9505 19TH Ave SE
Suite 100
Everett, WA 98208-3843
Phone (425) 225-6721
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Washington, P.S. | Single Specialty | Current | Accepting new patients |
| American Current Care of Washington, P.S. | Single Specialty | Current | Accepting new patients |
| American Current Care of Washington, P.S. | Single Specialty | Current | Accepting new patients |
Locations
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060
3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299
16690 Redmond Way
Redmond, WA 98052
Phone (425) 882-0100
9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Everett, WA
- NPI 1972727402
-
- Urgent Care Clinic/Center
- Seattle, WA
- NPI 1073096871
Single Specialty
-
- Urgent Care Clinic/Center
- Spokane, WA
- NPI 1881177681
Single Specialty
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1962984492
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497843213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14517 62ND DR SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982089391",
"telephone_number": "425-337-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 EVERGREEN WAY, B-6",
"city": "EVERETT",
"state": "WA",
"postal_code": "98203",
"telephone_number": "425-353-9191",
"fax_number": "425-353-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOIKE",
"first_name": "VINCENT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00001265",
"primary": true
}
],
"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 Jul 21, 2022; 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.