Michael Charles Previti, MD

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

License

MD60295988 Issued in WA

Practice address

3915 Talbot Rd S
Ste 104
Renton, WA 98055-5738

Phone

(425) 656-5566

Fax

(425) 656-5567

NPI assigned

Aug 31, 2006

Last updated

Aug 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OH2 enrollments

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 2

Specialty

Neurology

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Medical Center Hospital, Renton, WA, CCN 500088
• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpreviti46054@direct.valleymed.org

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.

• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574

  Neurology

  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418
  Medicare reassignment Care Compare group NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Kennewick, WA
  • NPI 1023932944
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Auburn, WA
  • NPI 1043365257
  NPD
• Pacific Vascular Incorporated

  dba Pacific Vascular-Cherry Hill

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1154476216
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1245385467
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bellingham, WA
  • NPI 1295145894
  NPD
• Pacific Vascular Incorporated

  dba Pacific Vascular-First Hill

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1295880433
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Port Ludlow, WA
  • NPI 1336019314
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Federal Way, WA
  • NPI 1518012608
  NPD
• Pacific Vascular Incorporated

  dba Pacific Vascular-Edmonds

  • Physiological Laboratory
  • Edmonds, WA
  • NPI 1558417675
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bothell, WA
  • NPI 1619300308
  NPD

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

• Public Hospital District 1 of King County

  dba Valley Medical Center

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1649209230
  Care Compare affiliation
• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574
  Care Compare affiliation
• Mercy Health - St Vincent Medical Center LLC

  dba Mercy Health St Vincent Medical Center

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1598877565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34876",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241876",
            "telephone_number": "425-656-5412",
            "fax_number": "425-656-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 TALBOT RD S",
            "address_2": "STE 104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555738",
            "telephone_number": "425-656-5566",
            "fax_number": "425-656-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVITI",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "WA",
            "license": "MD60295988",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60295988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKinzee L Powell, LMP
• Fernanda Gabriela Prado Lopez Aristi, LMFTA
• Shonali Rayneeka Prasad
• Premier Chiropractic #7, PLLC (Premier Chiropractic)
• Douglas Darren Presta, DPM
• Price Medical, Inc
• Chelsea Price, D.O.
• Mary C Price
• Nivea Prietol Mayfield
• Neenah Marie Primas

• Vascular Neurology Physician in Renton, WA
• Providers in Renton, WA by specialty
• Vascular Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.