Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael John Ulissey, MD

Individual provider Diagnostic Radiology Physician · NPI 1366406092

Michael John Ulissey, MD is a Diagnostic Radiology in Auburn, Washington. Graduated from Texas a & M University System, Hsc, College of Medicine in 1991, 35 years ago. Practices with Medical Scanning Consultants PA, a 80-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
35
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1268 E Main St Ste 1
Auburn, WA 98002-5748
Phone: (253) 735-1991
Fax: (253) 735-8837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD6023722 (WA)

Record details

NPI number1366406092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESSeptember 29, 2014
Mailing address1268 E Main St, Suite 1, Auburn, WA 98002-5748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Medical Scanning Consultants Pa — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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