Active NPI
Jose A Gude, MD
- Internal Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00038259
- 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
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 | 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, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Medicine | 5092719336 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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 OregonProvidence Health and Services - WashingtonProvidence Health and Services Mt
Practice addresses (Care Compare)
1907 N Claremont Dr
Boise, ID 83702-3010
Hospital & facility affiliations
- Mason General Hospital & Family of Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| Swedish Health Services | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Providence Health & Services Oregon | Internal Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
ID, Internal Medicine, WA
-
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
Internal Medicine, WA
-
- Internal Medicine Physician
- Portland, OR
- NPI 1164623401
ID, Internal Medicine
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
Internal Medicine, WA
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
ID, WA
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
Hospital
-
- Foot & Ankle Surgery Podiatrist
- Shelton, WA
- NPI 1437486248
Hospital
-
- Surgery Physician
- Shelton, WA
- NPI 1639339666
Hospital
-
- Ophthalmologic Surgery Clinic/Center
- Shelton, WA
- NPI 1922196609
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.