Individual provider Active NPI

Rhadika McCormick Souza, MD

  • Emergency Medicine Physician
  • Seattle, WA
National Provider Identifier
1013361518
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60961954 Issued in WA
Practice address
925 Seneca St
Seattle, WA 98101-2742
Phone
(206) 583-6433
Fax
(206) 583-6583
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60961954 WA Primary

Addresses

Primary practice location

925 Seneca St
Seattle, WA 98101-2742

Mailing address

925 Seneca St
Seattle, WA 98101-2742
Phone (206) 583-6433

Other names 1

  • Rhadika Renita McCormick Former name

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
I20201023000814 WA Practitioner - Emergency Medicine 7911292784 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puget Sound Physicians PLLCGroup PAC ID 2961301882, 47 clinicians
Evergreen Emergency Services PSGroup PAC ID 4981694155, 48 clinicians
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1000

925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600

Hospital & facility affiliations

  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
  • Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005
  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124
  • Evergreenhealth Monroe Hospital, Monroe, WA, CCN 500084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Mason Medical Center Emergency Medicine CurrentSince Apr 20, 2023 Accepting new patients
Virginia Mason Medical Center CurrentSince Apr 20, 2023 Accepting new patients
Evergreen Emergency Services, PS Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Puget Sound Physicians PLLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
North Sound Emergency Medicine PC Emergency Medicine CurrentSince Nov 16, 2020 Accepting new patients
Providence Health & Services-Washington CurrentSince Nov 1, 2020 Accepting new patients
Providence Health & Services- Washington CurrentSince Nov 1, 2020 Accepting new patients
The Association of University Physicians Past Accepting new patients

Locations

File 50421
Los Angeles, CA 90074

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

3011 196th St SW
Lynnwood, WA 98036
Phone (425) 688-5759

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

Organizations & group practices 9

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 6

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1013361518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SENECA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012742",
            "telephone_number": "206-583-6433",
            "fax_number": "206-583-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SENECA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012742",
            "telephone_number": "206-583-6433",
            "fax_number": "206-583-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "RHADIKA",
        "middle_name": "MCCORMICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60961954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHADIKA",
            "last_name": "MCCORMICK",
            "middle_name": "RENITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.