Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Antonius Mulia , MD

Internal Medicine โ€ข Seattle, WA

Active NPI 1013985977 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

904 7th Ave
Seattle, WA 981041132

Call 2063291760 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

904 7th Ave

Seattle, WA 981041132

Telephone 2063291760
Organization at the Same NPPES Address or Phone
Kelley-Ross & Assoc Inc Facility NPI 1669517025

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 3 distinct group names: Select Outpatient Services Inc; Select Rehabilitation, Llc; The Polyclinic Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Tufts University School Of Medicine

Graduation Year

1990

Medicare patients

275 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $132,788 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $107,990 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

7,501 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$227,462 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

36 years (graduated 1990)

CMS Doctors and Clinicians data list 1990 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mulia has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mulia as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Seattle and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Seattle, WA (2024, 347 clinicians with data). Median for this group: 314. Middle half: 120 to 699.

More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: 445. Middle half: 181 to 884.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Seattle, WA (2024, 347 clinicians with data). Median for this group: $29,250. Middle half: $11,630 to $59,921.

A higher Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $44,391. Middle half: $19,546 to $81,175.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine in Seattle, WA (2024, 347 clinicians with data). Median for this group: $21,892. Middle half: $8,890 to $47,646.

A higher Medicare payment amount than 90% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $34,352. Middle half: $14,821 to $61,951.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Internal Medicine in Seattle, WA (2024, 381 clinicians with data). Median for this group: 875. Middle half: 121 to 2,630.

More Part D prescriptions than 70% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: 834. Middle half: 101 to 3,989.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Internal Medicine in Seattle, WA (2024, 381 clinicians with data). Median for this group: $73,115. Middle half: $8,159 to $248,861.

A higher Part D drug cost than 65% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: $61,689. Middle half: $2,998 to $293,737.

821 active clinicians are listed under Internal Medicine with a practice address in Seattle, WA (3,081 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

26.8% of these 821 clinicians have the CMS telehealth indicator.

49.7% of these 821 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
407 196 $16.61 $8.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
399 192 $347.14 $140.38
80061 Blood test, lipids (cholesterol and triglycerides)
300 185 $63.00 $13.00
83036 Hemoglobin a1c level
272 165 $26.39 $9.45
81001 Manual urinalysis test with examination using microscope, automated
271 183 $15.00 $3.08
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
258 181 $23.00 $7.57
80053 Blood test, comprehensive group of blood chemicals
257 161 $34.00 $10.29
82043 Urine microalbumin (protein) level
256 170 $17.00 $5.61
82570 Creatinine level to test for kidney function or muscle injury
255 170 $16.00 $5.03
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
193 137 $244.98 $99.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
141 141 $336.06 $142.67
80048 Blood test, basic group of blood chemicals (calcium, total)
136 95 $27.00 $8.29
84153 Psa (prostate specific antigen) measurement, total
126 112 $56.00 $17.82
84460 Liver enzyme (sgpt), level
86 76 $15.00 $5.19
84443 Blood test, thyroid stimulating hormone (tsh)
80 56 $55.00 $16.46
83540 Iron level
60 28 $19.00 $6.13
83550 Iron binding capacity
59 28 $25.00 $8.28
82728 Ferritin (blood protein) level
56 27 $38.00 $12.88
84154 Psa (prostate specific antigen) measurement, free
46 40 $52.00 $18.02
82306 Vitamin d-3 level
39 37 $83.00 $28.45
84550 Uric acid level, blood
38 23 $14.00 $4.43
82607 Cyanocobalamin (vitamin b-12) level
31 29 $42.00 $14.78
90480 Admn sarscov2 vacc 1 dose
30 28 $40.00 $39.20
91320 Sarscv2 vac 30mcg trs-suc im
30 28 $357.25 $132.53
82550 Creatine kinase (cardiac enzyme) level, total
20 20 $18.00 $6.38

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Rosuvastatin Calcium Rosuvastatin Calcium 454 34,734 $5,073.93 137
Lisinopril Lisinopril 272 17,981 $2,418.35 89
Atorvastatin Calcium Atorvastatin Calcium 226 15,855 $2,268.99 79
Losartan Potassium Losartan Potassium 192 12,920 $2,373.46 58
Levothyroxine Sodium Levothyroxine Sodium 185 11,588 $1,580.41 49
Amlodipine Besylate Amlodipine Besylate 173 10,488 $1,125.43 46
Hydrochlorothiazide Hydrochlorothiazide 132 9,570 $574.04 39
Metoprolol Succinate Metoprolol Succinate 99 7,570 $1,471.67 32
Tamsulosin Hcl Tamsulosin Hcl 89 6,003 $1,871.54 32
Ezetimibe Ezetimibe 82 4,810 $1,013.94 27
Atenolol Atenolol 81 5,014 $1,021.67 22
Jardiance Empagliflozin 71 3,888 $75,414.49 18
Zolpidem Tartrate Zolpidem Tartrate 68 1,827 $474.82 24
Metformin Hcl Metformin Hcl 66 4,600 $432.52 24
Alprazolam Alprazolam 59 1,025 $235.90 25
Omeprazole Omeprazole 55 4,650 $724.44 23
Alendronate Sodium Alendronate Sodium 54 4,396 $666.95 23
Gabapentin Gabapentin 51 2,726 $1,200.10 20
Eliquis Apixaban 51 2,900 $57,846.53 16
Pantoprazole Sodium Pantoprazole Sodium 48 3,208 $692.55 16
Furosemide Furosemide 47 2,667 $199.49 21
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 44 596 $510.47 18
Sertraline Hcl Sertraline Hcl 41 2,010 $308.38 11
Albuterol Sulfate Hfa Albuterol Sulfate 38 1,175 $1,253.11 28
Simvastatin Simvastatin 36 2,340 $273.92 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-07
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES WA MD00039455

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
8273427 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20100330001087

Enrollment State Jurisdiction

WA

PECOS Control ID

5294861191

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Select Outpatient Services Inc

2600 Compass Rd, Glenview, IL 600268001

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

The Polyclinic Pllc

904 7th Ave, Seattle, WA 981041132

Phone: 2063091760

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1215902135

Doctor of Medicine (M.D.)

Dr. Linda Anderson , MD

Internal Medicine - Pulmonary Disease

NPI 1053317222

Doctor of Medicine (M.D.)

Dr. Wei Shawn Ignatius Ang , DO

Psychiatry & Neurology - Forensic Psychiatry

NPI 1013470079

Doctor of Osteopathic Medicine (D.O.)

Dr. Peter Baciewicz , MD

Internal Medicine - Cardiovascular Disease

NPI 1689640351

Doctor of Medicine (M.D.)

Edessa Bello-Rapoport , PT

Physical Therapist

NPI 1558310359

Physical Therapist

NPI 1215033899

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address June 07, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

โœ…
NPI Profile Active May 16, 2012

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 16, 2012

Registered at 904 7TH AVE, SEATTLE, WA 981041132 (Tel: 2063291760)

๐Ÿ“
Business Mailing Address (Initial Record) May 16, 2012

Registered at 904 7TH AVE, SEATTLE, WA 981041132 (Tel: 2063291760)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 16, 2012

Recorded as ANTONIUS MULIA, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Internal Medicine (license number reported to NPPES: WA MD00039455)

๐ŸŸข
Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013985977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: June 07, 2026
Sole Proprietor: No

Other Internal Medicine Providers in Seattle

All Internal Medicine Providers in Seattle

More public profiles in Washington

Directory navigation, in NPI number order.

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.