TANNER MUGGLI (MD) – Emergency Medicine Physician, NPI 1124653217

TANNER MUGGLI (MD) is a healthcare provider. based in Seattle, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD222511 (OR). The NPI Number for TANNER MUGGLI (MD) is 1124653217

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TANNER MUGGLI (MD)
NPI
1124653217
Phone
Not provided
Address
1959 NE PACIFIC ST
Enumeration Date
9 March 2020
Deactivation Date
22 June 2020
Reactivation Date
14 April 2021
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5034132200
Graduation Year
2021 (5 years ago)
PAC ID
3971021916
Group Practice PAC ID
7012807373
Professional Enrollment ID
I20250514001387
Address ID
OR972271623PO2801XAVEX400

Contacts

Other Endpoint
.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,197 EMERGENCY MEDICINE in CO

Provider Addresses for TANNER MUGGLI (MD)

  • 1959 NE PACIFIC ST

    SEATTLE, WA 981950001

    Phone:

    Type: Mailing

  • 777 BANNOCK ST # MC0108

    DENVER, CO 802044507

    Phone: (303) 602-5193

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250514001387IEmergency MedicineORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98195)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012807373View full group profile
NameSpecialtyState
Emergency MedicineOR
Emergency MedicineOR
-CA
Emergency MedicineUT
Emergency MedicineKY
Emergency MedicineOR
Emergency MedicineNY
Emergency MedicineOR
Emergency MedicineOR
Emergency MedicineCA

Reviews

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Frequently asked questions

Where can patients find TANNER MUGGLI (MD)'s NPI?
You can confirm TANNER MUGGLI (MD) with NPI 1124653217; it appears in the national provider directory.
Is TANNER MUGGLI (MD)'s NPI currently valid?
The extract we use shows TANNER MUGGLI (MD) as active.
Does TANNER MUGGLI (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for TANNER MUGGLI (MD). Clinical services aligned with this taxonomy classification.
What location shows for TANNER MUGGLI (MD)?
We surface Seattle, Washington for TANNER MUGGLI (MD) based on available NPPES addresses.
What if Seattle, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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