NPIMap

Individual provider Active NPI

Ruth A. Freeman, M.D.

  • Internal Medicine Physician
  • Bothell, WA
National Provider Identifier
1073502829
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00036837 Issued in WA
Practice address
1908 201St PL SE Ste 100
Bothell, WA 98012-8572
Phone
(425) 219-4720
Fax
(425) 949-7059
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00036837 WA Primary

Addresses

Primary practice location

1908 201St PL SE Ste 100
Bothell, WA 98012-8572

Mailing address

1908 201St PL SE Ste 100
Bothell, WA 98012-8572
Phone (425) 219-4720

Other identifiers 1

IdentifierTypeStateIssuer
8234890MedicaidWA

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
I20101023000166 WA Practitioner - Internal Medicine 9436342300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1908 201St PL SE
Suite 100
Bothell, WA 98012-8572
Phone (425) 750-7504

Hospital & facility affiliations

  • Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Evergreenhealth Monroe Hospital, Monroe, WA, CCN 500084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00036837WAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ruth.freeman.1@15433.direct.athenahealth.com

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 9

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1073502829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 201ST PL SE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128572",
            "telephone_number": "425-219-4720",
            "fax_number": "425-949-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 201ST PL SE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128572",
            "telephone_number": "425-219-4720",
            "fax_number": "425-949-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "RUTH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00036837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8234890",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.