Paul Dewitt Conrad, M.D.

Individual provider Active NPI Specialist · Mercer Island, WA

NPI 1093779902 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1093779902
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
25903 (WA)
Practice address
7505 81St PL SE
Mercer Island, WA 98040-5936
Phone
(206) 236-3070
Fax
(206) 236-3070
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20111219000566 WA Order and Referring Only - Pediatric Medicine
Practitioner - Pediatric Medicine
8426223561

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25903WAMDSpecialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25903 WA Yes

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

Other providers in Mercer Island, WA

All providers in Mercer Island, WA · Specialist in Washington

Sources for this page

Verify at the official NPI Registry.