Mikhail Vladimir Makovski, M.D.

Primary specialty

In Vivo & In Vitro Nuclear Medicine PhysicianTaxonomy code 207UN0903X

License

MD00039986 Issued in WA

Practice address

6719 S 211TH St
Suite 102
Kent, WA 98032

Phone

(253) 656-0223

Fax

(253) 872-7900

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tensegrity

  • Point of Service
  • Bellevue, WA
  • NPI 1457796112
  NPD (past)
• Clay Township Clinic LLC

  • Family Medicine Physician
  • South Bend, IN
  • NPI 1659555142
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1841338993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749958",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749958",
            "telephone_number": "253-656-0223",
            "fax_number": "253-872-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 S 211TH ST",
            "address_2": "SUITE 102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "253-656-0223",
            "fax_number": "253-872-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOVSKI",
        "first_name": "MIKHAIL",
        "middle_name": "VLADIMIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0903X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
            "state": "WA",
            "license": "MD00039986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Maigua, CNA
• Carolyne Maina
• Esther Mumbi Maina
• Amrita Prabir Kumar Majumdar, D.M.D
• Nicole Makortoff-Lashley, LMHCA
• Solyvattey Malai
• Miguel Jovany Maldonado, LMP
• Rashmi Malhotra, DDS, MSD
• Violeta Elena Mamani Urbiola McRae
• Anita Mammoser

• Nuclear Medicine Physician in Kent, WA
• Providers in Kent, WA by specialty
• Nuclear Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.