Active NPI
Thomas E Trumble, MD
- Orthopaedic Hand Surgery Physician
- Bellevue, WA
National Provider Identifier
1114003837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- MD00026314
- Practice address
- 1200 112TH Ave NE Ste C210
Bellevue, WA 98004-3740 - Phone
- (425) 999-3580
- Fax
- (425) 999-3122
- NPI assigned
- Oct 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00026314 | WA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD00026314 | WA | Primary |
Addresses
Primary practice location
1200 112TH Ave NE Ste C210
Bellevue, WA 98004-3740
Mailing address
7683 SE 27TH St Ste 254
Mercer Island, WA 98040-2804
Phone (425) 999-3580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8113649 | Medicaid | WA | |
| 8487 | Other | INTERNAL ID-MOTOR VEHICLE ID |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00026314 | WA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Medical Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- thomas.trumble@1457.chartlogic.direct-ci.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Bellevue, WA
- NPI 1174036826
-
- Ambulatory Surgical Clinic/Center
- Issaquah, WA
- NPI 1750709358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1114003837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7683 SE 27TH ST STE 254",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980402804",
"telephone_number": "425-999-3580",
"fax_number": "425-999-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 112TH AVE NE STE C210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043740",
"telephone_number": "425-999-3580",
"fax_number": "425-999-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMBLE",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD00026314",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "WA",
"license": "MD00026314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8113649",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL ID-MOTOR VEHICLE ID",
"identifier": "8487",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.