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DR. KAJ JOHANSEN MD
NPI 1366491045
Surgery - Vascular Surgery in Seattle, WA

Active since May 09, 2006
600 BROADWAY STE 112, SEATTLE, WA 98122(206) 420-3119(206) 453-5912 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2019, Apr 16, 2018 (2 updates tracked since 2018).

About Dr. Kaj Johansen Md NPPES

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

DR. KAJ JOHANSEN MD (NPI 1366491045) is an individual vascular surgery provider in Seattle, Washington, licensed in Washington (MD00016486) and active in the NPI registry since May 2006. He maintains a secondary practice location in Sequim.

NPPES Registry Identity

NPI1366491045
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. KAJ JOHANSENCredential: MD
Location Address600 BROADWAY STE 112Seattle, WA 98122-5381
Mailing AddressPo Box 22152Seattle, WA 98122-0152 · (206) 420-3119 · Fax (206) 453-5912
Phone(206) 420-3119
Fax(206) 453-5912
Sole ProprietorNo
Enumeration DateMay 9, 2006
Last NPPES UpdateMay 3, 20192 updates tracked since enumeration
✔ NPI 1366491045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in WA · MD00016486
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
600 BROADWAY STE 112, Seattle, WA 98122
Open in Google Maps ↗

Secondary Practice Location 1

Location 1574 N 5th AveSequim, WA 98382-3079 · Phone (206) 420-3119 · Fax (206) 453-5912

Other Identifiers 1

Medicaid8400103WA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%123 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DR. BRANDITH G IRWIN M.D.
Dermatology
600 BROADWAY STE 112
SEATTLE, WA 98122
King County (206) 939-6633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaj Johansen's NPI number?

The NPI number for Kaj Johansen is 1366491045. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Kaj Johansen located?

Kaj Johansen practices at 600 Broadway Ste 112, Seattle, WA 98122. The listed phone number is (206) 420-3119.

What is Kaj Johansen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Kaj Johansen was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.