Individual provider Active NPI

Melissa A. Hayes Balmadrid, M.D.

  • Diagnostic Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1053587899
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60271805 Issued in WA
Practice address
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
May 1, 2008
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2010-01759 NC
Diagnostic Radiology Physician 2085R0202X MD60271805 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X 141595 NC

Addresses

Primary practice location

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers 2

IdentifierTypeStateIssuer
158600OtherWAPTAN
2022789MedicaidWA

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
I20121029000719 WA Practitioner - Diagnostic Radiology 5395913248 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 1590
Seattle, WA 98104-1306
Phone (206) 386-6060

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141595NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Jul 1, 2014 Accepting new patients
Swedish Health Services CurrentSince Jul 1, 2014 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 27, 2012 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 27, 2012 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 27, 2012 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Swedish Health Services CurrentSince Aug 1, 2013 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 27, 2012 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Empire Health Services Past Accepting new patients
Swedish First Hill Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations (25 of 94)

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

19 N 7th St
Cheney, WA 99004
Phone (509) 235-6151

11245 State Route 525
Clinton, WA 98236
Phone (360) 341-5252

80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

20 E J St
Deer Park, WA 99006
Phone (509) 276-8012

7320 216th St SW
Ste 120
Edmonds, WA 98026
Phone (425) 673-3930

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

728 134th St SW
Ste 120
Everett, WA 98204
Phone (425) 741-7500

3216 Norton Ave
Ste 201
Everett, WA 98201
Phone (425) 258-4624

12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

3822 Colby Ave
Everett, WA 98201
Phone (425) 259-0121

3726 Broadway
Ste 201
Everett, WA 98201
Phone (425) 317-9119

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

Organizations & group practices 13

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.

View all 13

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1053587899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES BALMADRID",
        "first_name": "MELISSA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2010-01759",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60271805",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "141595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "158600",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022789",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.