Active NPI
Craig Steven Birkby, M.D.
- MOHS-Micrographic Surgery Physician
- Seattle, WA
National Provider Identifier
1669422994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- MD00025324
- Practice address
- 1229 Madison Street
Suite 1090
Seattle, WA 98104 - Phone
- (206) 215-3300
- Fax
- (206) 215-3301
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | MD00025324 | WA | Primary |
Addresses
Primary practice location
1229 Madison Street
Suite 1090
Seattle, WA 98104
Mailing address
PO Box 3913
Ms 310019
Seattle, WA 98124-3913
Phone (206) 215-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043975 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060505000119 | WA | Practitioner - Dermatology | 1951395623 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00025324 | WA | MD | MOHS-Micrographic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1669422994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3913",
"address_2": "MS 310019",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981243913",
"telephone_number": "206-215-3300",
"fax_number": "216-215-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 MADISON STREET",
"address_2": "SUITE 1090",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-215-3300",
"fax_number": "206-215-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKBY",
"first_name": "CRAIG",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "WA",
"license": "MD00025324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043975",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.