Organization Active NPI

Northwest Direct Primary Care

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1669350195
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTHWEST DIRECT PRIMARY CARE
Practice address
1403 S Grand Blvd Ste 201S
Spokane, WA 99203-2278
Phone
(509) 903-5061
NPI assigned
Aug 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Dr. Michael Stewart, DONPI 1053775767
Title
Owner
Phone
(307) 349-6005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1403 S Grand Blvd Ste 201S
Spokane, WA 99203-2278

Mailing address

1403 S Grand Blvd Ste 201S
Spokane, WA 99203-2278
Phone (307) 349-6005

Other names 2

  • Northwest DPC & Headache Doing business as
  • Northwest Direct Primary Care & Headache Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NWDPC@162360.advancedmd-direct.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111003229 WA Part B Supplier - Clinic/Group Practice 3476044058 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2336637Northwest DPC & Headache1403 South Grand Boulevard Ste 201S, Spokane, WA 99203Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1403 S Grand Blvd
Ste 201S
Spokane, WA 99203
Phone (425) 328-9700

Interoperability endpoints

  • Direct secure messaging: nwdpc@162360.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1669350195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 201S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032278",
            "telephone_number": "307-349-6005",
            "fax_number": "800-283-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 201S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032278",
            "telephone_number": "509-903-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DIRECT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-349-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NWDPC@162360.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "EHR/AdvancedMD Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1403 S Grand Blvd Ste 201S",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992032278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northwest DPC & Headache",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Direct Primary Care & Headache",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.