Individual provider Active NPI

Leah Naomi Kiviat, MD

  • Vascular & Interventional Radiology Physician
  • Seattle, WA
National Provider Identifier
1083716617
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD00048286 Issued in WA
Practice address
1959 NE Pacific St
C-212, Box 356340
Seattle, WA 98195-6340
Phone
(206) 543-0065
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD00048286 WA Primary
Diagnostic Radiology Physician 2085R0202X MD00048286 WA

Addresses

Primary practice location

1959 NE Pacific St
C-212, Box 356340
Seattle, WA 98195-6340

Mailing address

1959 NE Pacific St
C-212, Box 356340
Seattle, WA 98195-6340
Phone (206) 543-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080709000210 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6800968728 Reassigns benefits to 9 organizations
I20111020000228 AK Practitioner - Diagnostic Radiology 6800968728 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Washington School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Star Medical Imaging PLLCGroup PAC ID 7214005099, 30 clinicians
Fairbanks Medical Imaging LLCGroup PAC ID 4082894407, 28 clinicians
Skagit Radiology Inc P SGroup PAC ID 7113815218, 39 clinicians

Practice addresses (Care Compare)

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 424-6161

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-6161

2310 Peger Rd
Suite 102
Fairbanks, AK 99709-5305
Phone (360) 424-6161

330 S Stillaguamish Ave
Arlington, WA 98223-1642
Phone (360) 424-6161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00048286WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skagit Radiology Inc P S Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients
Whidbey Island Public Hospital District Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2016 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jul 1, 2011 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jun 1, 2020 Accepting new patients
Fairbanks Medical Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2011 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
The Association of Chrmc and University Physicians CurrentSince Nov 1, 2012 Accepting new patients
Bellingham Advanced Medical Imaging LLC Diagnostic Radiology CurrentSince Oct 3, 2017 Accepting new patients
Association of CHMC and University Physicians CurrentSince Nov 1, 2012 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jul 1, 2011 Accepting new patients
Iliuliuk Family and Health Services Inc CurrentSince Aug 6, 2023 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Advanced Medical Imaging, LLC Diagnostic Radiology Past Accepting new patients
Iliuliuk Family &Health Services, Inc. Past Accepting new patients
Radia Inc P S Diagnostic Radiology Past Accepting new patients
Olympic Medical Imaging Consultants, PLLC Diagnostic Radiology Past Accepting new patients
Jefferson County Public Hospital District No 2 Past Accepting new patients

Locations

2310 Peger Rd
Ste 102
Fairbanks, AK 99709

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393

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

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

1310 E Division St
Mount Vernon, WA 98274
Phone (360) 416-2218

125 N 18th St
Ste C
Mount Vernon, WA 98273
Phone (360) 428-7274

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

1320 E Division St
Mount Vernon, WA 98274
Phone (360) 424-9607

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1959 NE Pacific St
#C212
Seattle, WA 98195
Phone (206) 543-0065

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

Organizations & group practices 21

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 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1083716617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "C-212, BOX 356340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956340",
            "telephone_number": "206-543-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "C-212, BOX 356340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956340",
            "telephone_number": "206-543-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVIAT",
        "first_name": "LEAH",
        "middle_name": "NAOMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD00048286",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00048286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.