Active NPI
Matthew Bartindale, M.D.
- Otolaryngology Physician
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD60934292
- Practice address
- 21911 76TH Ave W Ste 211
Edmonds, WA 98026 - Phone
- (425) 775-6651
- Fax
- (425) 670-6718
- NPI assigned
- Apr 21, 2014
- Last updated
- Jul 12, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 125065677 | IL | |
| Otolaryngology Physician | 207Y00000X | MD60934292 | WA | Primary |
| Otology & Neurotology Physician | 207YX0901X | MD60934292 | WA |
Addresses
Primary practice location
21911 76TH Ave W Ste 211
Edmonds, WA 98026
Mailing address
21911 76TH Ave W Ste 211
Edmonds, WA 98026-7918
Phone (425) 775-6651
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-1676
Other practice location 2
104 27th Ave SE
Puyallup, WA 98374-1145
Phone (425) 775-6651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 Gleenwood Ave
Joliet, IL 60435-5574
Phone (815) 725-1191
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60934292 | WA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Otolaryngology | Current | Accepting new patients |
| ENT Surgical Consultants, LTD | Otolaryngology | Current | Accepting new patients |
Locations
2201 Glenwood Ave
Joliet, IL 60435
Phone (815) 725-1191
960 W US Route 6
Morris, IL 60450
1890 Silver Cross Blvd
Ste 435
New Lenox, IL 60451
Phone (815) 725-1191
21911 76th Ave W
Ste 211
Edmonds, WA 98026
Phone (253) 770-9000
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- matthewbartindale@entsc.allscriptsdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Joliet, IL
- NPI 1881620177
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Surgeons Puget Sound ENT
- Otolaryngology Physician
- Edmonds, WA
- NPI 1770764342
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
dba OSF Saint Clare Medical Center
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1033539721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21911 76TH AVE W STE 211",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267918",
"telephone_number": "425-775-6651",
"fax_number": "425-670-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21911 76TH AVE W STE 211",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-775-6651",
"fax_number": "425-670-6718"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-1676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 27th Ave SE",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983741145",
"country_code": "US",
"telephone_number": "425-775-6651",
"fax_number": "425-670-6718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTINDALE",
"first_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-21",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "125065677",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "MD60934292",
"primary": true
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "WA",
"license": "MD60934292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.