DR. MARK ROBERT MIKOLS (D.O.) – Family Medicine Physician, NPI 1467431734

DR. MARK ROBERT MIKOLS (D.O.) is a healthcare provider. based in Seattle, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OP00002341 (WA). The NPI Number for DR. MARK ROBERT MIKOLS (D.O.) is 1467431734

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ROBERT MIKOLS (D.O.)
NPI
1467431734
Phone
(425) 656-5412
Address
PO BOX 34876
Enumeration Date
13 January 2006
Last Update Date
25 September 2012

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4256885460
Graduation Year
1997 (29 years ago)
PAC ID
4284535501
Group Practice PAC ID
7012808827
Professional Enrollment ID
I20080822000411
Address ID
WA980043772BE1750XNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for DR. MARK ROBERT MIKOLS (D.O.)

  • PO BOX 34876

    SEATTLE, WA 981241876

    Phone: (425) 656-5412

    Fax: (425) 656-4096

    Type: Mailing

  • UW Medicine - Valley Medical Center - Covington Clinic North, 16850, Southeast 272nd Street, Covington, King County, Washington, 98042, United States

    COVINGTON, WA 980424931

    Phone: (253) 395-2006

    Fax: (253) 395-1977

    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: 2008-08-22

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
I20080822000411IFamily PracticeWATBD

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 98124)

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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: 7012808827View full group profile
NameSpecialtyState
N E U R O L O G YCA
Qualified Speech Language PathologistWA
Physical Therapist In Private PracticeWA
Family PracticeWA
-WA
Physical Therapist In Private PracticeWA
Family PracticeWA
-WA
Nurse PractitionerTX
-WA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MARK ROBERT MIKOLS (D.O.)?
DR. MARK ROBERT MIKOLS (D.O.) — NPI 1467431734 — is the standard way to identify this listing.
Does CMS list DR. MARK ROBERT MIKOLS (D.O.) as active?
Yes — DR. MARK ROBERT MIKOLS (D.O.) is active in the NPI listing used on this page.
What is DR. MARK ROBERT MIKOLS (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. MARK ROBERT MIKOLS (D.O.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARK ROBERT MIKOLS (D.O.) on a map?
Expect Seattle, Washington as a primary anchor for DR. MARK ROBERT MIKOLS (D.O.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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