Individual provider Active NPI

Aashiyana Faruk Koreishi, M.D.

  • Anatomic Pathology Physician
  • Seattle, WA
National Provider Identifier
1033245865
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
60085890 Issued in WA
Practice address
1001 Klickitat Way SW Suite 205
Psip
Seattle, WA 98134
Phone
(206) 622-7747
Fax
(206) 467-1470
NPI assigned
Feb 26, 2007
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 60085890 WA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X L-221244 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 246048 NY

Addresses

Primary practice location

1001 Klickitat Way SW Suite 205
Psip
Seattle, WA 98134

Mailing address

12501 E Marginal Way S Ste 200
Tukwila, WA 98168-5163
Phone (844) 344-4209

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
I20101102000348 WA Practitioner - Pathology 8325232531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
New York University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cellnetix Pathology PLLCGroup PAC ID 8224062971, 58 clinicians

Practice addresses (Care Compare)

1124 Columbia St
Suite 200
Seattle, WA 98104-2048
Phone (206) 386-2676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60085890WAMDAnatomic Pathology Physician
L-221244MAMDAnatomic Pathology & Clinical Pathology Physician
246048NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2017 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2017 Accepting new patients

Locations

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

1001 SW Klickitat Way
Ste 205
Seattle, WA 98134
Phone (206) 622-7747

1124 Columbia St
Ste 200
Seattle, WA 98104
Phone (206) 576-6050

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1780 NW Myhre Rd
Ste 1240
Silverdale, WA 98383
Phone (360) 337-8915

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

12501 E Marginal Way S
Ste 200
Tukwila, WA 98168
Phone (206) 576-6050

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1033245865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 E MARGINAL WAY S STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685163",
            "telephone_number": "844-344-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KLICKITAT WAY SW SUITE 205",
            "address_2": "PSIP",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98134",
            "telephone_number": "206-622-7747",
            "fax_number": "206-467-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREISHI",
        "first_name": "AASHIYANA",
        "middle_name": "FARUK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "WA",
            "license": "60085890",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "L-221244",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "246048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.