Individual provider Active NPI

Nona Niculescu, M.D.

  • Primary Care Clinic/Center
  • Seattle, WA
National Provider Identifier
1003184946
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
60661489 Issued in WA
Practice address
1200 12TH Ave S
Seattle, WA 98144-2712
Phone
(425) 744-7153
Fax
(425) 775-7128
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 161410 OR
Primary Care Clinic/Center 261QP2300X 60661489 WA Primary

Addresses

Primary practice location

1200 12TH Ave S
Seattle, WA 98144-2712

Mailing address

1200 12TH Ave S
Seattle, WA 98144
Phone (425) 744-7153

Other practice location 1

19401 40th Ave W Ste 230
Lynnwood, WA 98036-5675
Phone (425) 744-7153

Other practice location 2

1909 214th St SE Ste 300
Bothell, WA 98021-4418
Phone (425) 412-7200

Other identifiers 1

IdentifierTypeStateIssuer
1003184946MedicaidOR

Other names 1

  • Nona Furculita Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nniculescu1042717@wm.providencedirect.org Direct
Direct Messaging Address nniculescu1042717@wm.providencedirect.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170118000846 WA Practitioner - Internal Medicine 3072755008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
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Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (206) 326-2400

1909 214TH St SE
Suite 300
Bothell, WA 98021-4418
Phone (425) 412-7200

19401 40TH Ave W
Suite 230
Lynnwood, WA 98036-5675
Phone (425) 744-7153

220 15TH Ave SE
Puyallup, WA 98372-3797
Phone (253) 435-3400

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Everett, WA, CCN 507071
  • Providence at Home With Compassus Home Health, King Home health agency, Tukwila, WA, CCN 507068
  • Evergreenhealth Home Care Services Home health agency, Kirkland, WA, CCN 507079
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
161410ORMDInternal Medicine Physician
60661489WAMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nniculescu1042717@wm.providencedirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1003184946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98144",
            "telephone_number": "425-744-7153",
            "fax_number": "425-755-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "425-744-7153",
            "fax_number": "425-775-7128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19401 40th Ave W Ste 230",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980365675",
            "country_code": "US",
            "telephone_number": "425-744-7153",
            "fax_number": "425-744-7128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 214th St SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980214418",
            "country_code": "US",
            "telephone_number": "425-412-7200",
            "fax_number": "425-412-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICULESCU",
        "first_name": "NONA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "161410",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "60661489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003184946",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nniculescu1042717@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1909 214th St SE Ste 300",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980214418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nniculescu1042717@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19401 40th Ave W Ste 230",
            "city": "Lynnwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980365675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NONA",
            "last_name": "FURCULITA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.