Individual provider Active NPI

Michael Howard Kalnoski, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Seattle, WA
National Provider Identifier
1891777959
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD00039879 Issued in WA
Practice address
1001 SW Klickitat Way
#205
Seattle, WA 98134-1161
Phone
(206) 622-7747
Fax
(206) 467-1470
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X MD00039879 WA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD00039879 WA Primary

Addresses

Primary practice location

1001 SW Klickitat Way
#205
Seattle, WA 98134-1161

Mailing address

PO Box 34245
Seattle, WA 98124-1245
Phone (206) 622-7747

Other identifiers 2

IdentifierTypeStateIssuer
0158193OtherWA ST LABOR & INDUSTRIES
8296667MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00039879WAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Institute of Pathology, PLLC Past Accepting new patients
Atlas Genomics LLC PastSince Mar 25, 2014 Accepting new patients
Puget Sound Institute of Pathology PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1891777959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34245",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241245",
            "telephone_number": "206-622-7747",
            "fax_number": "206-467-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW KLICKITAT WAY",
            "address_2": "#205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341161",
            "telephone_number": "206-622-7747",
            "fax_number": "206-467-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALNOSKI",
        "first_name": "MICHAEL",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "WA",
            "license": "MD00039879",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD00039879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA ST LABOR & INDUSTRIES",
            "identifier": "0158193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8296667",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.