Active NPI
Kelvin G. Mar, M.D.
- Emergency Medicine Physician
- Snoqualmie, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 44378
- Practice address
- 9801 Frontier Ave SE
Snoqualmie, WA 98065-5200 - Phone
- (425) 831-2300
- NPI assigned
- Jun 22, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A76815 | CA | |
| Emergency Medicine Physician | 207P00000X | 44378 | WA | Primary |
Addresses
Primary practice location
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Mailing address
PO Box 16546
Seattle, WA 98116-0546
Phone (206) 937-6051
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A768150 | Medicaid | CA | |
| 00A768150 | Other | CA | BLUE SHIELD |
| 00A768150 | Other | CA | CALOPTIMA |
| A76815 | Other | CA | BLUE CROSS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Saint Louis University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17209 Redmond Way
Redmond, WA 98052-4404
Phone (425) 635-6400
1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460
5708 E Lake Samm Pkwy SE
Issaquah, WA 98029-8942
Phone (425) 688-5488
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.12 of 100
- Quality
- 95.43
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 78.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.97
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76815 | CA | MD | Emergency Medicine Physician |
| 44378 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| Ballard Emergency Physicians, P.S. | Emergency Medicine | Current | Accepting new patients |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| North Sound Emergency Medicine PC | Emergency Medicine | Past | Accepting new patients |
| Southern Solano Emergency Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| Midpacific Hospitalists LLC | Past | Accepting new patients | |
| Humble Emergency Physicains Professional Association | Emergency Medicine | Past | Accepting new patients |
| Hawaii Emergency Physicians Associated Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Specialists Inc | Emergency Medicine | Past | Accepting new patients |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients | |
| Radia Inc P S | Past | Accepting new patients |
Locations
619 156th Ave SE
Bellevue, WA 98007
Phone (425) 637-3270
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
10223 NE 10th St
Bellevue, WA 98004
Phone (425) 453-3288
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
5708 E Lake Sammamish Pkwy SE
Ste 102
Issaquah, WA 98029
Phone (425) 688-5488
5708 E Lake Sammamish Pkwy SE
Ste 101
Issaquah, WA 98029
13159 Newcastle Commons Dr
Newcastle, WA 98059
Phone (425) 635-3010
17209 Redmond Way
Redmond, WA 98052
Phone (425) 635-6400
5300 Tallman Ave NW
Seattle, WA 98107
Phone (206) 781-6209
9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Emergency Medicine Physician
- Seattle, WA
- NPI 1619909256
-
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
-
- Specialist
- Bellevue, WA
- NPI 1871745703
-
- Rural Health Clinic/Center
- Snoqualmie, WA
- NPI 1558869289
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1114937919
-
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1932196607
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1912973850
-
- Emergency Medicine Physician
- Kailua, HI
- NPI 1801843198
-
- Emergency Medicine Physician
- Humble, TX
- NPI 1013930973
-
- Internal Medicine Physician
- Kailua, HI
- NPI 1053778217
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
-
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1801832233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16546",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981160546",
"telephone_number": "206-937-6051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 FRONTIER AVE SE",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980655200",
"telephone_number": "425-831-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAR",
"first_name": "KELVIN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A76815",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "44378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A768150",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A768150",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALOPTIMA",
"identifier": "00A768150",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "A76815",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snoqualmie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.