Individual provider Active NPI

James Troutman, M.D.

  • Pediatrics Physician
  • Stanwood, WA
National Provider Identifier
1043217441
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00026605 Issued in WA
Practice address
7205 265TH St NW
Stanwood, WA 98292-6221
Phone
(360) 629-1502
Fax
(360) 629-1524
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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
I20080313000695 WA Practitioner - Pediatric Medicine 2769567775 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00026605WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC Current Accepting new patients
Optum Care Washington PLLC Pediatrics CurrentSince Jun 5, 2011 Accepting new patients
Optum Care Washington PLLC CurrentSince Jun 5, 2012 Accepting new patients
Optum Care Washington PLLC Pediatrics CurrentSince Jun 5, 2011 Accepting new patients

Locations

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

7205 265th St NW
Stanwood, WA 98292
Phone (360) 629-1100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00026605 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

7205 265TH St NW
Stanwood, WA 98292-6221

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (360) 629-1502

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
MD0002605OtherWALICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2020.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1043217441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "360-629-1502",
            "fax_number": "360-629-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 265TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926221",
            "telephone_number": "360-629-1502",
            "fax_number": "360-629-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUTMAN",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00026605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD0002605",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

Verify at the official NPI Registry.