Active NPI
Nicholas Moy, M.D.
- Internal Medicine Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60286403
- Practice address
- 11695 NE 4TH St
Bellevue, WA 98004-5268 - Phone
- (425) 637-1855
- Fax
- (206) 344-7970
- NPI assigned
- Aug 28, 2009
- Last updated
- Jan 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A102963 | CA | |
| Internal Medicine Physician | 207R00000X | MD60286403 | WA | Primary |
Addresses
Primary practice location
11695 NE 4TH St
Bellevue, WA 98004-5268
Mailing address
PO Box 741515
Los Angeles, CA 90074-1515
Phone (425) 637-1855
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043443716 | Medicaid | WA | |
| 0299108 | Other | WA | LABOR & INDUSTRY |
| P01121109 | Other | WA | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York Medical College, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
100 NE Gilman Blvd
Issaquah, WA 98027-2925
Phone (425) 557-8000
11695 NE 4TH St
Bellevue, WA 98004-5268
Phone (425) 637-1855
19116 33Rd Ave W
Lynnwood, WA 98036-4706
Phone (425) 712-7900
2600 Compass Rd
Glenview, IL 60026-8001
33501 1St Way S
Federal Way, WA 98003-6208
Phone (253) 838-2400
4575 Sand Point Way NE
Suite 108
Seattle, WA 98105-3999
Phone (206) 525-8000
620 5TH Ave S
Suite 200
Kirkland, WA 98033-6736
Phone (425) 814-5100
7315 212TH St SW
Edmonds, WA 98026-7610
Phone (425) 775-9474
925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60286403 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Internal Medicine | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients |
Locations
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
11695 NE 4th St
Bellevue, WA 98004
Phone (425) 637-1855
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
1100 9th Ave
#4
Seattle, WA 98101
Phone (206) 515-5811
4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/
- nicholas.moy@direct.vmmc.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
dba Virginia Mason Medical Center-Gim
- Internal Medicine Physician
- Seattle, WA
- NPI 1194889071
-
dba St Joseph Medical Center
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
-
dba Virginia Mason Medical Center-Gastroenterology
- Gastroenterology Physician
- Seattle, WA
- NPI 1003970989
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1043443716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741515",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900741515",
"telephone_number": "425-637-1855",
"fax_number": "206-344-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11695 NE 4TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045268",
"telephone_number": "425-637-1855",
"fax_number": "206-344-7970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOY",
"first_name": "NICHOLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-28",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A102963",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60286403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043443716",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0299108",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01121109",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.