Active NPI
Gene Paek, M.D.
- Anesthesiology Physician
- Bellevue, WA
National Provider Identifier
1003100488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD60647961
- Practice address
- 1035 116TH Ave NE
Bellevue, WA 98004-4604 - Phone
- (425) 407-1500
- Fax
- (888) 512-2215
- NPI assigned
- Jun 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD60647961 | WA | Primary |
Addresses
Primary practice location
1035 116TH Ave NE
Bellevue, WA 98004-4604
Mailing address
PO Box 24503
Seattle, WA 98124-0503
Other practice location 1
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 985-6403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2028463 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gpaek801073@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Oregon Health Sciences University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341
Hospital & facility affiliations
- St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60647961 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Sunshine Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Matrix Anesthesia, PS | Anesthesiology | Current | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
Interoperability endpoints
- gpaek801073@fhsce.catholichealth.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Anesthesiology Physician
- Bellevue, WA
- NPI 1730030107
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Anesthesiology Physician
- Bellevue, WA
- NPI 1831146422
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1003100488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24503",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981240503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 116TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044604",
"telephone_number": "425-407-1500",
"fax_number": "888-512-2215"
}
],
"practiceLocations": [
{
"address_1": "1717 S J St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054933",
"country_code": "US",
"telephone_number": "253-985-6403",
"fax_number": "253-985-6879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAEK",
"first_name": "GENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD60647961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2028463",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gpaek801073@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1717 S J St",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054933",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.