Individual provider Active NPI

Livingston Pfalzgraf Martin, MD

  • Family Medicine Physician
  • Bainbridge Island, WA
National Provider Identifier
1538783154
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61321643 Issued in WA
Practice address
213 Madison Ave N Ste 200
Bainbridge Island, WA 98110-1890
Phone
(206) 528-8000
Fax
(206) 880-7890
NPI assigned
May 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Informatics Physician 2083C0008X MD61321643 WA
Family Medicine Physician 207Q00000X MD61321643 WA Primary

Addresses

Primary practice location

213 Madison Ave N Ste 200
Bainbridge Island, WA 98110-1890

Mailing address

360 Ashbury CT NW
Bainbridge Island, WA 98110-5160
Phone (971) 678-0344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 15, 2025 through Sep 15, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61321643WAMDClinical Informatics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians Family Medicine PastSince Jul 1, 2023 Accepting new patients
University of Washington PastSince Jul 1, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1538783154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ASHBURY CT NW",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105160",
            "telephone_number": "971-678-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MADISON AVE N STE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101890",
            "telephone_number": "206-528-8000",
            "fax_number": "206-880-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LIVINGSTON",
        "middle_name": "PFALZGRAF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "WA",
            "license": "MD61321643",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61321643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

Verify at the official NPI Registry.