NPIMap

Individual provider Active NPI

Gary Richard Schuster, M.D

  • Internal Medicine Physician
  • Bellevue, WA
National Provider Identifier
1053500223
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0019545 Issued in WA
Practice address
1600 116TH Ave NE
Ste 202
Bellevue, WA 98004-3056
Phone
(206) 215-2288
Fax
(206) 215-2289
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X MD0019545 WA
Internal Medicine Physician 207R00000X MD0019545 WA Primary

Addresses

Primary practice location

1600 116TH Ave NE
Ste 202
Bellevue, WA 98004-3056

Mailing address

1600 116TH Ave NE
Ste 202
Bellevue, WA 98004-3056
Phone (206) 215-8666

Other identifiers 1

IdentifierTypeStateIssuer
MD0019545OtherWAWA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040227000231 WA Practitioner - Internal Medicine 0244126944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 116TH Ave NE
Suite 202
Bellevue, WA 98004-3056
Phone (206) 215-2288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0019545WAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Sports & Internal Medicine P S Sports Medicine CurrentSince Mar 15, 2011 Accepting new patients

Locations

1600 116th Ave NE
Ste 202
Bellevue, WA 98004
Phone (206) 215-2288

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1053500223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043056",
            "telephone_number": "206-215-8666",
            "fax_number": "206-215-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043056",
            "telephone_number": "206-215-2288",
            "fax_number": "206-215-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSTER",
        "first_name": "GARY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WA",
            "license": "MD0019545",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD0019545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "MD0019545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.