Individual provider Active NPI

Michael J Gilbert, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bellevue, WA
National Provider Identifier
1932596988
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
61043684 Issued in WA
Practice address
12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487
Phone
(425) 450-2020
Fax
(425) 688-0620
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 61043684 WA
Retina Specialist (Ophthalmology) Physician 207WX0107X 61043684 WA Primary

Addresses

Primary practice location

12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487

Mailing address

12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487
Phone (425) 450-2020

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
I20200608000769 WA Practitioner - Ophthalmology 0042516171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Vision Institute PLLCGroup PAC ID 5597809236, 7 clinicians

Practice addresses (Care Compare)

12301 NE 10TH PL
Suite 200
Bellevue, WA 98005-2487
Phone 4254502020245

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61043684WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Vision Institute, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Northwest Vision Institute, PLLC Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients

Locations

12301 NE 10th Pl
Ste 200
Bellevue, WA 98005
Phone (425) 450-2020

11800 NE 128th St
Ste 110
Kirkland, WA 98034
Phone 4254502020 ext. 245

13122 120th Ave NE
Kirkland, WA 98034
Phone (425) 678-8534

Interoperability endpoints

  • Direct secure messaging: mjgilbert@nvi.intellechartdirect.net

Organizations & group practices 2

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1932596988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-450-2020",
            "fax_number": "425-688-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-450-2020",
            "fax_number": "425-688-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "61043684",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WA",
            "license": "61043684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.