Active NPI
Martin Maimon, MD
- Pediatrics Physician
- Tukwila, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00038662
- Practice address
- 14900 Interurban Ave S
Tukwila, WA 98168-4635 - Phone
- (206) 795-7510
- NPI assigned
- May 28, 2006
- Last updated
- Jan 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00038662 | WA | |
| Pediatrics Physician | 208000000X | MD00038662 | WA | Primary |
Addresses
Primary practice location
14900 Interurban Ave S
Tukwila, WA 98168-4635
Mailing address
14900 Interurban Ave S
Tukwila, WA 98168-4635
Phone (206) 795-7510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807493200 | Medicaid | ID | |
| 8270415 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, KS, OR, GA, NE, MI, SC, IL, NC, VA, WV, MO, AZ, MD, OH, PA, NM, TX, CO, WI, FL, MN, NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 24
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Washington School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Portland, OR 97239
Phone (855) 221-2642
200 S 21St St
400A BC Collective NE
Lincoln, NE 68510-1044
Phone (855) 221-2642
202 N Cedar Ave
Suite 1
Owatonna, MN 55060-2306
Phone (855) 221-2642
2222 W Grand River Ave
Suite a
Okemos, MI 48864-1604
Phone (855) 221-2642
2501 Chatham Rd
Springfield, IL 62704-4188
Phone (855) 221-2642
2800 E Enterprise Ave
Suite 333
Appleton, WI 54913-7889
Phone (855) 221-2642
4030 Wake Forest Rd
Suite 349
Raleigh, NC 27609-0010
Phone (855) 221-2642
4601 E Douglas Ave
Suite 150
Wichita, KS 67218-1011
Phone (855) 221-2642
51 N 5TH Ave
Suite 303
Arcadia, CA 91006-3711
Phone (855) 221-2642
724 N Montezuma St
Suite a
Prescott, AZ 86301-2066
Phone (855) 221-2642
7901 4TH St N
Suite 300
St Petersburg, FL 33702-4399
Phone (855) 221-2642
812 N Prince St
Lancaster, PA 17603-2732
Phone (855) 221-2642
8735 Dunwoody PL
Atlanta, GA 30350-2995
Phone (855) 221-2642
8840 Cypress Waters Blvd
Suite 150
Coppell, TX 75019-4616
Phone (855) 221-2642
971 US Hwy 202 N
Suite R
Branchburg, NJ 08876-3757
Phone (855) 221-2642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BC Collective of Or LLC | Current | Accepting new patients | |
| BC Collective of NJ LLC | Current | Accepting new patients | |
| BC Collective of KS LLC | Current | Accepting new patients | |
| Children's Hospital & Regional Medical Center 2 | Past | Accepting new patients | |
| Pediatrix Medical Group of Washington Inc PS | Past | Accepting new patients | |
| Hona Medical Group PA | Past | Accepting new patients |
Locations
133 NE 2nd Ave
Miami, FL 33132
4601 E Douglas Ave
Ste 150
Wichita, KS 67218
Phone (423) 502-1508
971 US Highway 202 N
Ste R
Branchburg, NJ 08876
Phone (631) 987-4632
5441 S Macadam Ave
Ste R
Portland, OR 97239
Phone (818) 618-3619
Organizations & group practices 8
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.
-
- Clinic/Center
- Wichita, KS
- NPI 1528929536
-
- Clinic/Center
- Branchburg, NJ
- NPI 1457211302
-
- Clinic/Center
- Sacramento, CA
- NPI 1396605283
-
- Clinic/Center
- Atlanta, GA
- NPI 1700746237
AZ, CO, FL, IL, MD, MI, MN, MO, NC, NE, NM, NY, OH, PA, SC, TX, VA, WI, WV
-
- Clinic/Center
- Portland, OR
- NPI 1235099185
-
- Children's Hospital
- Seattle, WA
- NPI 1083789630
-
- Neonatal-Perinatal Medicine Physician
- Seattle, WA
- NPI 1144327859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1710934302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14900 INTERURBAN AVE S",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981684635",
"telephone_number": "206-795-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14900 INTERURBAN AVE S",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981684635",
"telephone_number": "206-795-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIMON",
"first_name": "MARTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00038662",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00038662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807493200",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8270415",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.
- 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.