NPIMap

Individual provider Active NPI

Michael M. Bundesmann, MD

  • Pulmonary Disease Physician
  • Seattle, WA
National Provider Identifier
1881770774
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD 00048007 Issued in WA
Practice address
1959 NE Pacific St.
Medical Specialties Box 356166
Seattle, WA 98109-4714
Phone
(206) 598-4615
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-115541 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD 00048007 WA
Pulmonary Disease Physician 207RP1001X MD 00048007 WA Primary

Addresses

Primary practice location

1959 NE Pacific St.
Medical Specialties Box 356166
Seattle, WA 98109-4714

Mailing address

815 Mercer St
Center for Lung Biology
Seattle, WA 98109-4714
Phone (206) 598-4615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000755 WA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 1759436629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Michigan State University College of Human Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12303 NE 130TH LN
Suite 550
Kirkland, WA 98034-3041
Phone (425) 899-3224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115541ILMDInternal Medicine Physician
MD 00048007WAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Mar 2, 2011 Accepting new patients
King County Public Hospital District No 2 CurrentSince Mar 2, 2011 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Internal Medicine Current Accepting new patients
The Association of University Physicians Internal Medicine Past Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12710 Totem Lake Blvd NE
Kirkland, WA 98034
Phone (425) 821-4040

12303 NE 130th Ln
Ste 550
Kirkland, WA 98034
Phone (425) 899-3224

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1881770774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MERCER ST",
            "address_2": "CENTER FOR LUNG BIOLOGY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094714",
            "telephone_number": "206-598-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST.",
            "address_2": "MEDICAL SPECIALTIES BOX 356166",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094714",
            "telephone_number": "206-598-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDESMANN",
        "first_name": "MICHAEL",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-115541",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD 00048007",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD 00048007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.