MIROSLAV BACKONJA MD - NPI 1306818513 - Psychiatry & Neurology in Seattle, WA

Q: What is Miroslav Backonja's NPI number?

The NPI number for Miroslav Backonja is 1306818513. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Q: What is Miroslav Backonja's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

Q: When was this NPI record last updated?

The NPPES record for Miroslav Backonja was last updated on April 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Miroslav Backonja Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIROSLAV BACKONJA MD (NPI 1306818513) is an individual pain medicine provider in Seattle, Washington, licensed in Washington (MD60527403) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306818513

Entity TypeIndividualMale

Primary Taxonomy2084P2900X

Provider Legal NameMIROSLAV BACKONJACredential: MD

Location Address4225 ROOSEVELT WAY NE FL 4Seattle, WA 98105-6099

Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700

Phone(206) 598-4282

Sole ProprietorNo

Enumeration DateFebruary 2, 2006

Last NPPES UpdateApril 25, 2016

✔ NPI 1306818513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084P2900X

License✔ Licensed in WA · MD60527403

Definition

A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

4225 ROOSEVELT WAY NE FL 4, Seattle, WA 98105

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Other Identifiers 2

Medicaid1306818513WA

Medicare PIN8943994WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miroslav Backonja Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRETT RUSSELL STACEY M.D.

Anesthesiology (Pain Medicine)