Individual provider Active NPI

Adrienne Maria Laury, M.D.

  • Otolaryngology Physician
  • Bellevue, WA
National Provider Identifier
1124260351
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD60820938 Issued in WA
Practice address
1231 116TH Ave NE Ste 915
Bellevue, WA 98004
Phone
(425) 454-3938
Fax
(425) 454-2568
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101249148 VA
Otolaryngology Physician 207Y00000X MD60820938 WA Primary

Addresses

Primary practice location

1231 116TH Ave NE Ste 915
Bellevue, WA 98004

Mailing address

510 8TH Ave NE Ste 310
Issaquah, WA 98029-5436
Phone (425) 454-3938

Other practice location 1

1365A Clifton Rd NE Rm A2327
Emory Department of Otolaryngology
Atlanta, GA 30322-1013
Phone (404) 778-5712

Other practice location 2

510 8th Ave NE Ste 310
Issaquah, WA 98029-5436
Phone (425) 454-3938

Other identifiers 1

IdentifierTypeStateIssuer
2100429MedicaidWA

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
I20180731003591 WA Practitioner - Otolaryngology 1153698097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

1231 116TH Ave NE
Suite 915
Bellevue, WA 98004-3822
Phone (425) 454-3938

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101249148VAMDOtolaryngology Physician
MD60820938WAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jul 1, 2018 Accepting new patients
Proliance Surgeons, Inc., P.S. Otolaryngology CurrentSince Jul 1, 2018 Accepting new patients
Proliance Surgeons, Inc., P.S. Otolaryngology Past Accepting new patients

Locations

1231 116th Ave NE
Ste 915
Bellevue, WA 98004
Phone (425) 454-3938

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

510 8th Ave NE
Ste 310
Issaquah, WA 98029
Phone (425) 454-3938

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • Direct secure messaging: adrienne.laury.p79@direct.proliance.nextgenshare.com

Organizations & group practices 4

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 3

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1124260351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 310",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295436",
            "telephone_number": "425-454-3938",
            "fax_number": "425-392-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 116TH AVE NE STE 915",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-3938",
            "fax_number": "425-454-2568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365A Clifton Rd NE Rm A2327",
            "address_2": "Emory Department of Otolaryngology",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221013",
            "country_code": "US",
            "telephone_number": "404-778-5712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 8th Ave NE Ste 310",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980295436",
            "country_code": "US",
            "telephone_number": "425-454-3938",
            "fax_number": "425-392-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURY",
        "first_name": "ADRIENNE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101249148",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD60820938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100429",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.