Individual provider Active NPI

Amy Jane Markezich, MD

  • Internal Medicine Physician
  • Bellevue, WA
National Provider Identifier
1609961507
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60084614 Issued in WA
Practice address
777 108TH Ave NE Ste 2230
Bellevue, WA 98004-5146
Phone
(425) 300-9810
Fax
(425) 300-9813
NPI assigned
Oct 4, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 MD60084614 WA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD60084614 WA
Pulmonary Disease Physician 207RP1001X MD60084614 WA

Addresses

Primary practice location

777 108TH Ave NE Ste 2230
Bellevue, WA 98004-5146

Mailing address

777 108TH Ave NE Ste 2230
Bellevue, WA 98004-5146
Phone (425) 300-9811

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 Nov 13, 2024 through Nov 13, 2026

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60084614WAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients
Overlake Internal Medicine Laboratory PastSince Jul 25, 2019 Accepting new patients
Overlake Medical Clinics, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amy.markezich.1@28513.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1609961507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 108TH AVE NE STE 2230",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045146",
            "telephone_number": "425-300-9811",
            "fax_number": "425-300-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 108TH AVE NE STE 2230",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045146",
            "telephone_number": "425-300-9810",
            "fax_number": "425-300-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKEZICH",
        "first_name": "AMY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60084614",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD60084614",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD60084614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.