Individual provider Active NPI

Michael C Kerkering, M.D.

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1881602910
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00034069 Issued in WA
Practice address
624 E Front Ave
Spokane, WA 99202-2139
Phone
(509) 626-9900
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00034069 WA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD00034069 WA

Addresses

Primary practice location

624 E Front Ave
Spokane, WA 99202-2139

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-0001
Phone (866) 747-2455

Other practice location 1

1215 N McDonald Rd
Ste 101
Spokane Valley, WA 99216-1048
Phone (509) 924-1950

Other practice location 2

820 S McClellan St Ste 200
Spokane, WA 99204-2456
Phone (509) 747-1144

Other practice location 3

16528 E Desmet Ct Ste B2100
Spokane Valley, WA 99216-3522
Phone (509) 944-2440

Other practice location 4

5633 N Lidgerwood St
Spokane, WA 99208-1224
Phone (509) 482-0111

Other practice location 5

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

Other identifiers 2

IdentifierTypeStateIssuer
910987719OtherWAPREMERA
8207557MedicaidWA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mkerkering314229@wm.providencedirect.org Direct
Direct Messaging Address mkerkering314229@wm.providencedirect.org Direct
Direct Messaging Address mkerkering314229@wm.providencedirect.org Direct

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
I20040330000700 WA Practitioner - Internal Medicine 2860484185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

16528 E Desmet CT
Suite B2100
Spokane Valley, WA 99216-3522
Phone (509) 944-9440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Internal Medicine CurrentSince Nov 15, 2017 Accepting new patients
Providence Health & Services Washington CurrentSince Nov 15, 2017 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Zugec Medical Clinic, P.S. PastSince Aug 1, 2016 Accepting new patients
Inland Empire Hospital Services Association Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

820 S McClellan St
Ste LL20
Spokane, WA 99204
Phone (509) 353-3973

820 S McClellan St
Ste 200
Spokane, WA 99204
Phone (509) 747-1144

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

104 W 5th Ave
Ste 200W
Spokane, WA 99204
Phone (509) 624-2313

624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900

16528 E Desmet Ct
Ste B2100
Spokane Valley, WA 99216
Phone (509) 944-8840

16528 E Desmet Ct
Ste B3100
Spokane Valley, WA 99216
Phone (509) 944-9440

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16161/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mkerkering314229@wm.providencedirect.org

Organizations & group practices 5

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 7

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1881602910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4114",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E FRONT AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022139",
            "telephone_number": "509-626-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 N McDonald Rd",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161048",
            "country_code": "US",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 S McClellan St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042456",
            "country_code": "US",
            "telephone_number": "509-747-1144",
            "fax_number": "509-598-2102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16528 E Desmet Ct Ste B2100",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163522",
            "country_code": "US",
            "telephone_number": "509-944-2440",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5633 N Lidgerwood St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992081224",
            "country_code": "US",
            "telephone_number": "509-482-0111",
            "fax_number": "509-598-2102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-3131",
            "fax_number": "509-598-2102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERKERING",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00034069",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00034069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "910987719",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8207557",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkerkering314229@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "820 S McClellan St Ste 200",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkerkering314229@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5633 N Lidgerwood St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992081224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkerkering314229@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 W 8th Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.