Active NPI
Mai Otsuka Colvin, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- MD61157827
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-2401 - Phone
- (206) 520-5000
- NPI assigned
- Jun 14, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD61157827 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD61157827 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD61157827 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-2401
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, 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
- Critical Care (Intensivists)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61157827 | WA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Internal Medicine | Current | Accepting new patients |
| The Association of University Physicians | Internal Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
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.
-
dba University of Washington Physicians
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Internal Medicine
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Washington Medical Center
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1588926547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981952401",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "MAI",
"middle_name": "OTSUKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61157827",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD61157827",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD61157827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Columbia Lutheran Ministries (Columbia Lutheran Home)
- Columbia Physical Therapy Services, Inc,
- Roy Mitchell Colven, M.D.
- Lucy Anne Colville, MD
- David Alexander Colvin, MD
- Marielle Christina-Slothouber Colvin, MSN, FNP-C
- Anna Rebecca Colwell, MACP, LMHCA
- Emily Burr Colwell, ND
- Kristi Lynn Colwell, M.A., L.M.H.C.
- Roberta J Colwell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.