Individual provider Active NPI

Michael Sean Strother, MD

  • Specialist
  • Kirkland, WA
National Provider Identifier
1801960653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00037967 Issued in WA
Practice address
12911 120TH Ave NE Ste G100
Kirkland, WA 98034-3027
Phone
(425) 899-4144
Fax
(425) 899-4148
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00037967 WA Primary

Addresses

Primary practice location

12911 120TH Ave NE Ste G100
Kirkland, WA 98034-3027

Mailing address

12911 120TH Ave NE Ste G100
Kirkland, WA 98034-3027
Phone (425) 899-4144

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000521 WA Practitioner - Dermatology 0446140743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strother Dermatology and Laser Treatment Center PLLCGroup PAC ID 1052660875, 8 clinicians

Practice addresses (Care Compare)

12911 120TH Ave NE
Suite G100
Kirkland, WA 98034-3027
Phone (425) 899-4144

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions579
Removal or shaving of skin growth53
Skin biopsy168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Strother Dermatology and Laser Treatment Center PLLC CurrentSince Feb 18, 2019 Accepting new patients
Sam Naficy, MD, PS, Inc PastSince Feb 18, 2019 Accepting new patients

Locations

1231 116th Ave NE
Ste 725
Bellevue, WA 98004
Phone (425) 454-4276

12911 120th Ave NE
Ste G100
Kirkland, WA 98034
Phone (425) 899-4144

17000 140th Ave NE
Unit 301
Woodinville, WA 98072
Phone (425) 483-1986

Interoperability endpoints

  • Direct secure messaging: msean@strother.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801960653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE G100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-899-4144",
            "fax_number": "425-899-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE G100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-899-4144",
            "fax_number": "425-899-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROTHER",
        "first_name": "MICHAEL",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00037967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.