Individual provider Active NPI

Jose A Gude, MD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1063432292
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00038259 Issued in WA
Practice address
747 Broadway
Seattle, WA 98122-4379
Phone
(206) 215-2520
Fax
(206) 386-3180
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M-13967 ID
Internal Medicine Physician 207R00000X MD00038259 WA Primary

Addresses

Primary practice location

747 Broadway
Seattle, WA 98122-4379

Mailing address

747 Broadway
Seattle, WA 98122-4379

Other practice location 1

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060829000408 WA Practitioner - Internal Medicine 5092719336 Reassigns benefits to 5 organizations
I20190228001906 OR Practitioner - Internal Medicine 5092719336 Reassigns benefits to 1 organization
I20210909001608 ID Practitioner - Internal MedicinePractitioner - Hospitalist 5092719336 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Louisiana State University School of Medicine in New Orleans, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians
Providence Health and Services - WashingtonGroup PAC ID 2860552973, 266 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

1907 N Claremont Dr
Boise, ID 83702-3010

Hospital & facility affiliations

  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jul 16, 2019 Accepting new patients
Providence Health & Services Oregon Internal Medicine CurrentSince May 8, 2022 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Aug 24, 2013 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 16, 2019 Accepting new patients
Providence Health & Services - Washington Internal Medicine CurrentSince Jul 16, 2019 Accepting new patients
Providence Health & Services- Washington CurrentSince Oct 15, 2018 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 30, 2021 Accepting new patients
Providence Health & Services Mt CurrentSince Nov 1, 2021 Accepting new patients
Providence Health & Services Mt Internal Medicine CurrentSince Oct 15, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 12, 2018 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 16, 2019 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 30, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Providence Health & Services Oregon Internal Medicine CurrentSince Nov 12, 2018 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

800 5th Ave
Seattle, WA 98104
Phone (206) 292-6226

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

5300 Tallman Ave NW
#4
Seattle, WA 98107
Phone (206) 297-5100

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Interoperability endpoints

  • Direct secure messaging: jgude427487@direct.peacehealth.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1063432292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224379",
            "telephone_number": "206-215-2520",
            "fax_number": "206-386-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-367-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDE",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-13967",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00038259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.