JACKLINE S. JOSEPH (M.D.) – Internal Medicine Physician, NPI 1407889173

JACKLINE S. JOSEPH (M.D.) is a healthcare provider. based in Redmond, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD34703 (WA). The NPI Number for JACKLINE S. JOSEPH (M.D.) is 1407889173

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
JACKLINE S. JOSEPH (M.D.)
NPI
1407889173
Phone
(425) 746-2400
Address
2103 152ND AVE NE
Enumeration Date
8 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4257462400
Graduation Year
1986 (40 years ago)
PAC ID
6507858305
Group Practice PAC ID
0446242242
Professional Enrollment ID
I20101117000052
Address ID
WA980525520RE2103XNEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,058 INTERNAL MEDICINE in WA

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Provider Addresses for JACKLINE S. JOSEPH (M.D.)

  • 2103, 152nd Avenue Northeast, Redmond, King County, Washington, 98052, United States

    REDMOND, WA 980525520

    Phone: (425) 746-2400

    Fax: (425) 746-2659

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 119 Open Payments records for all available years, with a total value of $3,234.

Total Amount is formed as General ($3,234) + Research ($0) + Ownership ($0) = $3,234.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Abbott Laboratories ($567).

Total Amount

$3,234

General + Research + Ownership

Payments

119

Total payment records

General Amount

$3,234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-17

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
I20101117000052IInternal MedicineWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6828$0
View full utilization report →

Insurance plans in this area (ZIP 98052)

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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: 0446242242View full group profile
NameSpecialtyState
Internal MedicineWA
Family Practice, Pediatric MedicineWA
Family PracticeWA

Reviews

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Frequently asked questions

What identifier follows JACKLINE S. JOSEPH (M.D.) across health systems?
The NPI 1407889173 uniquely identifies JACKLINE S. JOSEPH (M.D.) in U.S. healthcare data.
Quick check: is JACKLINE S. JOSEPH (M.D.) active?
Public NPPES data shows JACKLINE S. JOSEPH (M.D.) with an active NPI status right now.
What does the directory say JACKLINE S. JOSEPH (M.D.) does?
Insurance directories may phrase it differently, but here JACKLINE S. JOSEPH (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JACKLINE S. JOSEPH (M.D.)?
JACKLINE S. JOSEPH (M.D.) shows a connection to Redmond, Washington in registry-derived data.
Why is information missing for JACKLINE S. JOSEPH (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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