Active NPI
Sophia Masi
- Pediatrics Physician
- Seattle, WA
National Provider Identifier
1124655212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ML61060230
- Practice address
- 4800 Sand Point Way NE
Oc.7.830 Program Office
Seattle, WA 98105 - Phone
- (206) 987-2525
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ML61060230 | WA | Primary |
Addresses
Primary practice location
4800 Sand Point Way NE
Oc.7.830 Program Office
Seattle, WA 98105
Mailing address
4800 Sand Point Way NE
Oc.7.830 Program Office
Seattle, WA 98105
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200624001132 | WA | Order and Referring Only - Pediatric Medicine | 5193147965 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- smasi537032@direct.peacehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1124655212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "OC.7.830 PROGRAM OFFICE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "OC.7.830 PROGRAM OFFICE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-987-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASI",
"first_name": "SOPHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "ML61060230",
"primary": true
}
],
"identifiers": [],
"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 Jun 23, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.