NPIMap

Organization Active NPI

Virginia Mason Medical Center

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1124176904
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VIRGINIA MASON MEDICAL CENTER
Practice address
1100 9TH Ave
Seattle, WA 98101-2756
Phone
(206) 223-6762
NPI assigned
Jan 8, 2007
Organization subpart
Yes
Parent organization
VIRGINIA MASON MEDICAL CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Monica Hilt
Title
President
Phone
(206) 341-1208

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Practitioners 904

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MI, NC, NJ, TN, PA, DE, MO, CO, VA, HI, GA12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20031107000383 WA Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1,122 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA; Bainbridge Island, WA; Kirkland, WA; Issaquah, WA; Federal Way, WA; Edmonds, WA; Bellevue, WA; Lynnwood, WA
O20210831003309 MI Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Manistee, MI
O20210910002428 NC Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Mount, NC
O20210910002894 NJ Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Lee, NJ; Morristown, NJ
O20210917001827 TN Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Johnson City, TN
O20210920001359 PA Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Yardley, PA; Ardmore, PA
O20210922000330 DE Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE
O20210930000531 MO Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Higginsville, MO
O20211029000532 CO Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Golden, CO
O20211124000301 VA Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 1 practitioner
Practice locations: Haymarket, VA; Rockingham, VA
O20211201001790 HI Part B Supplier - Clinic/Group Practice 9830002617 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Honolulu, HI; Kailua, HI
O20220414000444 GA Part B Supplier - Clinic/Group Practice 9830002617 Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory
Part of
Virginia Mason Occup Me

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

1100 9TH Ave
Seattle, WA 98101-2756

Mailing address

PO Box 741515
Los Angeles, CA 90074-1515
Phone (206) 515-5811

Other practice location 1

1100 Olive Way
Suite 531
Seattle, WA 98101-1873
Phone (206) 223-6762

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7069420MedicaidWA

Other names 1

NPPES NPI Registry
  • VIRGINIA MASON MEDICAL CENTER-PSYCHIATRY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2024.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1124176904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741515",
            "telephone_number": "206-515-5811",
            "fax_number": "206-341-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-223-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Olive Way",
            "address_2": "Suite 531",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011873",
            "country_code": "US",
            "telephone_number": "206-223-6762",
            "fax_number": "206-625-7414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRGINIA MASON MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA MASON MEDICAL CENTER",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "HILT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-341-1208"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7069420",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIRGINIA MASON MEDICAL CENTER-PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIRGINIA MASON MEDICAL CENTER-PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.