Individual provider Active NPI

Kevin Scott Michels, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Spokane, WA
National Provider Identifier
1841405404
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD60132733 Issued in WA
Practice address
626 S. Sheridan St
Spokane, WA 99202-1234
Phone
(509) 279-2176
Fax
(509) 279-2941
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35090796 OH
Ophthalmology Physician 207W00000X MD60132733 WA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD60132733 WA Primary

Addresses

Primary practice location

626 S. Sheridan St
Spokane, WA 99202-1234

Mailing address

626 S. Sheridan St
Spokane, WA 99202-1234
Phone (509) 279-2176

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
I20100730000443 WA Practitioner - Ophthalmology 0345313458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eyelid and Orbital Specialists PSGroup PAC ID 9133252935, 2 clinicians

Practice addresses (Care Compare)

626 S Sheridan St
Spokane, WA 99202-1325
Phone (509) 279-2176

Hospital & facility affiliations

  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions25
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35090796OHMDOphthalmology Physician
MD60132733WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eyelid and Orbital Specialists, P.S. Ophthalmology CurrentSince Jul 12, 2010 Accepting new patients
Northwest Eyelid and Orbital Specialists PS CurrentSince Jul 12, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ohio State University Hospitals Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Osu Eye Physicians and Surgeons LLC Ophthalmology PastSince Sep 1, 2017 Accepting new patients

Locations

825 SE Bishop Blvd
Ste 201
Pullman, WA 99163
Phone (509) 336-7577

825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498

475 Bradley Blvd
Richland, WA 99352
Phone (509) 895-4968

626 S Sheridan St
Spokane, WA 99202
Phone (509) 279-2176

Interoperability endpoints

  • Direct secure messaging: jpowers@northwesteyelid.providersdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1841405404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S. SHERIDAN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021234",
            "telephone_number": "509-279-2176",
            "fax_number": "509-279-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S. SHERIDAN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021234",
            "telephone_number": "509-279-2176",
            "fax_number": "509-279-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35090796",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60132733",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD60132733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.