Active NPI
Michael C Jungkeit, M.D.
- Specialist
- Poulsbo, WA
National Provider Identifier
1821170895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00033350
- Practice address
- 22180 Olympic College Way Ste 202
Poulsbo, WA 98370-6664 - Phone
- (360) 697-1414
- Fax
- (360) 697-3939
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00033350 | WA | Primary |
Addresses
Primary practice location
22180 Olympic College Way Ste 202
Poulsbo, WA 98370-6664
Mailing address
22180 Olympic College Way Ste 202
Poulsbo, WA 98370-6664
Phone (360) 697-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1096932 | Medicaid | WA |
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
- Otolaryngology
- Education
- University of California, Davis School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
22180 Olympic College Way NW
Suite 202
Poulsbo, WA 98370-6664
Phone (360) 697-1414
Hospital & facility affiliations
- Olympic Medical Center
- St Michael Medical Center
- Jefferson Healthcare
- Virginia Mason Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00033350 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Kitsap Ear Nose & Throat Clinic | Past | Accepting new patients | |
| North Kitsap Ambulatory Surgery Center, LLC | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Poulsbo, WA
- NPI 1477524015
-
- Physician Assistant
- Poulsbo, WA
- NPI 1629009428
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.
-
- Otolaryngology Physician
- Poulsbo, WA
- NPI 1699025205
-
- Ambulatory Surgical Clinic/Center
- Poulsbo, WA
- NPI 1962402503
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1821170895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22180 OLYMPIC COLLEGE WAY STE 202",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706664",
"telephone_number": "360-697-1414",
"fax_number": "360-697-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22180 OLYMPIC COLLEGE WAY STE 202",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706664",
"telephone_number": "360-697-1414",
"fax_number": "360-697-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNGKEIT",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00033350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1096932",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.