Organization Active NPI

Neurological Associates of Washington

  • Neurology Physician
  • Kirkland, WA
National Provider Identifier
1033290739
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGICAL ASSOCIATES OF WASHINGTON
Practice address
13107 121St Way NE
Kirkland, WA 98034-3051
Phone
(425) 505-2200
Fax
(425) 899-6220
NPI assigned
Oct 18, 2006
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Ali J Naini, MDNPI 1487687620
Title
Managing Partner
Phone
(425) 505-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X WA
Neurology Physician 2084N0400X WA Primary

Addresses

Primary practice location

13107 121St Way NE
Kirkland, WA 98034-3051

Mailing address

13107 121St Way NE
Kirkland, WA 98034-3051
Phone (425) 505-2200

Other identifiers 2

IdentifierTypeStateIssuer
0123643OtherWALI
7103823MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040728001401 WA Part B Supplier - Clinic/Group Practice 7618947458 Receives reassigned benefits from 3 practitioners
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory

Locations

17791 Fjord Dr NE
Ste 156
Poulsbo, WA 98370
Phone (360) 697-8606

1818 Westlake Ave N
Ste 312
Seattle, WA 98109
Phone (206) 303-8506

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1033290739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13107 121ST WAY NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343051",
            "telephone_number": "425-505-2200",
            "fax_number": "425-899-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13107 121ST WAY NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343051",
            "telephone_number": "425-505-2200",
            "fax_number": "425-899-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL ASSOCIATES OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "NAINI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "425-505-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LI",
            "identifier": "0123643",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7103823",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.