Active NPI
Ian A Glass
- Clinical Genetics (M.D.) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- MD00039046
- Practice address
- 4800 Sand Point Way NE
Seattle, WA 98105-3901 - Phone
- (206) 987-2000
- NPI assigned
- Oct 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | MD00039046 | WA | Primary |
Addresses
Primary practice location
4800 Sand Point Way NE
Seattle, WA 98105-3901
Mailing address
4500 Sand Point Way NE
#100
Seattle, WA 98105-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269720 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
| 8265316 | Medicaid | WA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Genetics and Genomics
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4540 Sand Point Way NE
Seattle, WA 98105-3941
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 526-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00039046 | WA | MD | Clinical Genetics (M.D.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Association of CHMC and University Physicians | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Clinical Genetics (M.D.) | Current | Accepting new patients |
| Seattle Children'S Hospital | Past | Accepting new patients | |
| Yakima Valley Memorial Physicians | Past | Accepting new patients |
Locations
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
4500 Sand Point Way NE
Ste 100
Seattle, WA 98105
Phone (206) 987-8450
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200
Interoperability endpoints
- iglassmd5410@direct.multicare.org
- iglass6879@direct.seattlechildrens.org
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
Clinical Genetics (M.D.)
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1326093873
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Home Infusion Agency
- Bothell, WA
- NPI 1245383348
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124118013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 SAND POINT WAY NE",
"address_2": "#100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "IAN",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "WA",
"license": "MD00039046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL ID-MOTOR VEHICLE ID",
"identifier": "269720",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8265316",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.