Individual provider Active NPI

Carl Puzant Garabedian, MD

  • Pediatric Cardiology Physician
  • Spokane, WA
National Provider Identifier
1083666127
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD00039312 Issued in WA
Practice address
101 W 8TH Ave
Suite 4300
Spokane, WA 99204-2307
Phone
(509) 747-6707
Fax
(509) 624-9186
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X M-8823 ID
Pediatric Cardiology Physician 2080P0202X MD00039312 WA Primary

Addresses

Primary practice location

101 W 8TH Ave
Suite 4300
Spokane, WA 99204-2307

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 747-6707

Other identifiers 4

IdentifierTypeStateIssuer
000568MedicaidOR
806205300MedicaidID
8280570MedicaidWA
0149942MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgarabedian111143@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, MT3 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
I20050920000973 WA Practitioner - Pediatric Medicine 1850325820 Reassigns benefits to 1 organization
I20150615000622 ID Practitioner - Cardiovascular Disease (Cardiology) 1850325820 Reassigns benefits to 3 organizations
I20240806002786 MT Practitioner - Pediatric MedicinePractitioner - Adult Congenital Heart Disease (Achd) 1850325820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Medical College of Wisconsin, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307

1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701

500 W Broadway St
Missoula, MT 59802-4096
Phone (406) 329-5838

701 Lewiston St
Cottonwood, ID 83522-9750
Phone (208) 962-3251

808 Port Dr
Clarkston, WA 99403-6009
Phone (509) 747-6707

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Credena Health LLC CurrentSince Sep 17, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince Nov 18, 2015 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt CurrentSince Sep 17, 2024 Accepting new patients
Providence Health & Services Mt CurrentSince Sep 17, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince Nov 18, 2015 Accepting new patients
Providence St Joseph Medical Center CurrentSince Sep 17, 2024 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Dec 31, 2017 Accepting new patients
Kootenai Health, Inc. CurrentSince Dec 31, 2017 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

2315 8th St Grade
Lewiston, ID 83501
Phone (208) 746-1383

619 S Washington St
Ste 201
Moscow, ID 83843
Phone (208) 882-1777

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

808 Port Dr
Clarkston, WA 99403
Phone (208) 746-1383

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498

112 Columbia Point Dr
Ste 103
Richland, WA 99352
Phone (509) 747-6707

101 W 8th Ave
#4300
Spokane, WA 99204
Phone (509) 747-6707

101 W 8th Ave
Ste 4300
Spokane, WA 99204
Phone (509) 474-6707

101 W 8th Ave
Ste 100
Spokane, WA 99204
Phone (509) 474-2880

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Interoperability endpoints

  • Direct secure messaging: cgarabedian219577@wm.providencedirect.org

Organizations & group practices 12

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 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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1083666127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "509-747-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "address_2": "SUITE 4300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307",
            "telephone_number": "509-747-6707",
            "fax_number": "509-624-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARABEDIAN",
        "first_name": "CARL",
        "middle_name": "PUZANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "ID",
            "license": "M-8823",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WA",
            "license": "MD00039312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000568",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806205300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8280570",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149942",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgarabedian111143@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.