Active NPI
Paul Dewitt Conrad, M.D.
- Specialist
- Mercer Island, WA
National Provider Identifier
1093779902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25903
- Practice address
- 7505 81St PL SE
Mercer Island, WA 98040-5936 - Phone
- (206) 236-3070
- Fax
- (206) 236-3070
- NPI assigned
- Apr 17, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25903 | WA | Primary |
Addresses
Primary practice location
7505 81St PL SE
Mercer Island, WA 98040-5936
Mailing address
7505 81St PL SE
Paul D. Conrad, MD
Mercer Island, WA 98040-5936
Phone (206) 236-3070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111219000566 | WA | Order and Referring Only - Pediatric Medicine | 8426223561 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25903 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093779902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 81ST PL SE",
"address_2": "PAUL D. CONRAD, MD",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980405936",
"telephone_number": "206-236-3070",
"fax_number": "206-236-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 81ST PL SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980405936",
"telephone_number": "206-236-3070",
"fax_number": "206-236-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "PAUL",
"middle_name": "DEWITT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "25903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mercer Island, WA
- Samuel Chong, DDS
- City of Mercer Island
- City of Mercer Island (Mercer Island Fire Department)
- Erica Lynne Clark, PHYSICAL THERAPIST
- Tumaini Rucker Coker, M.D.
- Cormedical, Inc.
- Jillian Clarke Correa
- Covenant Living West (Covenant Shores Health Center)
- Creative Speech and Language Services PLLC
- Crescent Outpatient and Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.