Organization Active NPI

Optimum Peak Wellness Professional Limited Liability Company

  • Internal Medicine Physician
  • Redmond, WA
National Provider Identifier
1710861414
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OPTIMUM PEAK WELLNESS PROFESSIONAL LIMITED LIABILITY COMPANY
Practice address
12270 134TH CT NE Ste 160
Redmond, WA 98052-7109
Phone
(425) 236-5932
NPI assigned
Aug 5, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Dr. Frank F Marinkovich, MDNPI 1407867690
Title
Medical Director
Phone
(425) 899-2525

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12270 134TH CT NE Ste 160
Redmond, WA 98052-7109

Mailing address

12270 134TH CT NE Ste 160
Redmond, WA 98052-7109
Phone (425) 236-5932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260107000938 WA Part B Supplier - Clinic/Group Practice 2062908353 Receives reassigned benefits from 1 practitioner
Practice locations: Redmond, WA

National Provider Directory

National Provider Directory

Locations

12270 134th Ct NE
Ste 160
Redmond, WA 98052
Phone (425) 236-5932

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1710861414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12270 134TH CT NE STE 160",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527109",
            "telephone_number": "425-236-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12270 134TH CT NE STE 160",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527109",
            "telephone_number": "425-236-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PEAK WELLNESS PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "MARINKOVICH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-899-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.