Active NPI
Louis P. Gianutsos, MD
- Family Medicine Physician
- Edmonds, WA
National Provider Identifier
1043394760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00032765
- Practice address
- 7315 212TH St SW Ste 101
Edmonds, WA 98026-7610 - Phone
- (425) 775-9474
- Fax
- (425) 670-3554
- NPI assigned
- Oct 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00032765 | WA | Primary |
Addresses
Primary practice location
7315 212TH St SW Ste 101
Edmonds, WA 98026-7610
Mailing address
12040 NE 128TH St
Ms-50
Kirkland, WA 98034-3013
Phone (425) 899-1920
Other practice location 1
550 16th Ave Ste 100
Seattle, WA 98122-5636
Phone (206) 320-2484
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lgianutsos1037408@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No 2 | Current | Accepting new patients |
Interoperability endpoints
- lgianutsos1037408@wm.providencedirect.org
Organizations & group practices 1
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1043394760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"address_2": "MS-50",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013",
"telephone_number": "425-899-1920",
"fax_number": "425-899-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 212TH ST SW STE 101",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267610",
"telephone_number": "425-775-9474",
"fax_number": "425-670-3554"
}
],
"practiceLocations": [
{
"address_1": "550 16th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225636",
"country_code": "US",
"telephone_number": "206-320-2484",
"fax_number": "206-320-4568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIANUTSOS",
"first_name": "LOUIS",
"middle_name": "P.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00032765",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lgianutsos1037408@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "550 16th Ave Ste 100",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981225636",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 20, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.