Individual provider Active NPI

Martin Maimon, MD

  • Pediatrics Physician
  • Tukwila, WA
National Provider Identifier
1710934302
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00038662 Issued in WA
Practice address
14900 Interurban Ave S
Tukwila, WA 98168-4635
Phone
(206) 795-7510
NPI assigned
May 28, 2006
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
807493200MedicaidID
8270415MedicaidWA

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, CA24 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 24

Enrollment IDStateProvider typePAC IDDetails
I20260223002308 NJ Practitioner - Pediatric MedicinePractitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260225000196 KS Practitioner - Pediatric MedicinePractitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260227003812 OR Practitioner - Pediatric MedicinePractitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260317002818 GA Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260401003021 NE Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8527072321 Reassigns benefits to 1 organization
I20260402003612 MI Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260408001771 SC Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260408001814 IL Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260408001854 NC Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260410000430 VA Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260410000579 WV Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260413000600 MO Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260417001190 AZ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8527072321 Reassigns benefits to 1 organization
I20260417001846 MD Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260417001926 OH Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260417002495 PA Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260420000825 NM Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260420001106 TX Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260420001976 CO Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260421000677 WI Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260507000013 FL Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260512002058 MN Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260601001806 NY Practitioner - Internal Medicine 8527072321 Reassigns benefits to 1 organization
I20260610000699 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8527072321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal 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
BC Collective of Ga LLCGroup PAC ID 7214414499, 6 clinicians
BC Collective of KS LLCGroup PAC ID 1355835976, 2 clinicians
BC Collective of Ca PCGroup PAC ID 3870088123, 4 clinicians
BC Collective of NJ LLCGroup PAC ID 0143716472, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
BC Collective of Or LLC CurrentSince Jan 13, 2026 Accepting new patients
BC Collective of NJ LLC CurrentSince Jan 13, 2026 Accepting new patients
BC Collective of KS LLC CurrentSince Jan 13, 2026 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 PastSince Jan 1, 2025 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.

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

Verify at the official NPI Registry.