Individual provider Active NPI

Romana Shehzadi, MD

  • Gastroenterology Physician
  • Federal Way, WA
National Provider Identifier
1053509257
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD60621128 Issued in WA
Practice address
34503 9TH Ave S Ste 130
Federal Way, WA 98003-8726
Phone
(253) 835-5340
Fax
(253) 835-5350
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD60621128 WA Primary

Addresses

Primary practice location

34503 9TH Ave S Ste 130
Federal Way, WA 98003-8726

Mailing address

34503 9TH Ave S Ste 130
Federal Way, WA 98003-8726
Phone (253) 835-5340

Other practice location 1

1270 Lee Blvd
Richland, WA 99352-4231
Phone (509) 942-3180

Other identifiers 1

IdentifierTypeStateIssuer
2058337MedicaidWA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rshehzadi1108958@wm.providencedirect.org
Direct Messaging Address rshehzadi1108958@wm.providencedirect.org
Direct Messaging Address rshehzadi703688@fhsce.catholichealth.net Direct Franciscan Medical Group

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
I20160628002909 WA Practitioner - Gastroenterology 2365745254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Puget Sound Gastroenterology PLLCGroup PAC ID 1759278252, 59 clinicians

Practice addresses (Care Compare)

11800 NE 128TH St
Suite 100
Kirkland, WA 98034-7208
Phone (425) 899-4500

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60621128WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Gastroenterology, PLLC Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
Puget Sound Gastroenterology, PLLC Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Puget Sound Gastroenterology, PLLC Past Accepting new patients

Locations

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: rshehzadi703688@fhsce.catholichealth.net
  • Direct secure messaging: rshehzadi1108958@wm.providencedirect.org
  • Direct secure messaging: romana.shehzadi@gastrohealth.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1053509257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34503 9TH AVE S STE 130",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038726",
            "telephone_number": "253-835-5340",
            "fax_number": "253-835-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34503 9TH AVE S STE 130",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038726",
            "telephone_number": "253-835-5340",
            "fax_number": "253-835-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993524231",
            "country_code": "US",
            "telephone_number": "509-942-3180",
            "fax_number": "509-943-9722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEHZADI",
        "first_name": "ROMANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60621128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2058337",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rshehzadi1108958@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "900 Stevens Drive",
            "address_2": "1st Floor",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rshehzadi1108958@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1270 Lee Blvd",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rshehzadi703688@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34503 9th Ave S Ste 130",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980038726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.