Active NPI
Amy Jane Markezich, MD
- Internal Medicine Physician
- Bellevue, WA
National Provider Identifier
1609961507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60084614
- 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, 2025
- 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 | 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
- Opted out of Medicare
- Yes, effective Nov 13, 2024 through Nov 13, 2026
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD60084614 | WA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients | |
| Overlake Internal Medicine Laboratory | Past | Accepting new patients | |
| Overlake Medical Clinics, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Obstetrics & Gynecology Physician
- Issaquah, WA
- NPI 1073581807
-
- Clinical Medical Laboratory
- Bellevue, WA
- NPI 1558422147
-
- Specialist
- Bellevue, WA
- NPI 1801828421
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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; Opt Out Affidavits.
- 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.