Maksportsmd
NPI 1417469404 · Sports Medicine (Family Medicine) Physician · Bothell, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maksportsmd is a Sports Medicine (Family Medicine) Physician organization in Bothell, WA (NPI 1417469404).
Provider details
- NPI number
- 1417469404
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Abimbolu Makinde, Owner(425) 286-8271
- License
- 60465979 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-10-30
- Last updated
- 2017-10-30
Frequently asked questions
- What is Maksportsmd's NPI number?
- Maksportsmd's National Provider Identifier (NPI) is 1417469404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maksportsmd?
- Maksportsmd is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Maksportsmd located?
- Maksportsmd's practice location on file with NPPES is 19110 Bothell Way Ne Ste 102, Bothell, WA 98011-2970.
- What is Maksportsmd's phone number?
- The practice phone number listed in the NPPES registry for Maksportsmd is (425) 286-8271.
- Does Maksportsmd accept Medicare?
- Maksportsmd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maksportsmd?
- The authorized official listed on Maksportsmd's NPPES record is Abimbolu Makinde, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maksportsmd's NPI active?
- Yes — Maksportsmd's NPI (1417469404) is active in the NPPES registry as of the last update on 2017-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.