Individual provider Active NPI

Elizabeth Rosenblatt

  • Gastroenterology Physician
  • Puyallup, WA
National Provider Identifier
1104156470
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD60443537 Issued in WA
Practice address
11216 Sunrise Blvd E Ste 3-207
Puyallup, WA 98374-8848
Phone
(253) 770-3700
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD60443537 WA Primary

Addresses

Primary practice location

11216 Sunrise Blvd E Ste 3-207
Puyallup, WA 98374-8848

Mailing address

11216 Sunrise Blvd E Ste 3-207
Puyallup, WA 98374-8848

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919002449 WA Practitioner - Internal Medicine 1951550706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Johns Hopkins University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

Practice addresses (Care Compare)

11216 Sunrise Blvd E
Suite 3 207
Puyallup, WA 98374-8848
Phone (253) 770-3700

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Upper gastrointestinal (GI) endoscopy for acid reflux84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60443537WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Gastroenterology PLLC Gastroenterology CurrentSince Dec 15, 2017 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Dec 15, 2017 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Dec 15, 2017 Accepting new patients

Locations

33915 1st Way S
Ste 200
Federal Way, WA 98003
Phone (253) 838-9839

1301 4th Ave NW
Unit 303
Issaquah, WA 98027
Phone (425) 270-6363

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

11216 Sunrise Blvd E
Ste 3-207
Puyallup, WA 98374

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

11216 Sunrise Blvd E
Ste 201
Puyallup, WA 98374
Phone (253) 435-7050

11216 Sunrise Blvd E
Ste 3207
Puyallup, WA 98374
Phone (253) 770-3700

1446 Spaulding Ave
Richland, WA 99352
Phone (509) 420-4588

3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508

3209 S 23rd St
Ste 340
Tacoma, WA 98405
Phone (253) 272-8148

2202 S Cedar St
Ste 330
Tacoma, WA 98405
Phone (253) 503-2547

Organizations & group practices 3

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 1

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": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1104156470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 SUNRISE BLVD E STE 3-207",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 SUNRISE BLVD E STE 3-207",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748848",
            "telephone_number": "253-770-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60443537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.