Individual provider Active NPI

Kaisera Jamil Zubair, M.D.

  • Pediatrics Physician
  • Bellevue, WA
National Provider Identifier
1134294754
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00035587 Issued in WA
Practice address
2475 140TH Ave. NE
Building C
Bellevue, WA 98005
Phone
(425) 828-2257
Fax
(425) 896-7034
NPI assigned
Nov 21, 2006
Last updated
Nov 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00035587 WA Primary

Addresses

Primary practice location

2475 140TH Ave. NE
Building C
Bellevue, WA 98005

Mailing address

2475 140TH Ave. NE
Building C
Bellevue, WA 98005

Other names 1

  • Kaisera Jamil Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00035587WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics CurrentSince Dec 1, 2022 Accepting new patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics Past Accepting new patients

Locations

14711 NE 29th Pl
Ste 255
Bellevue, WA 98007
Phone (425) 460-5634

2475 140th Ave NE
Bellevue, WA 98005
Phone (253) 221-0634

2475 140th Ave NE
Bldg C
Bellevue, WA 98005
Phone (425) 828-2257

22620 SE 4th St
Ste 200
Sammamish, WA 98074
Phone (425) 836-5407

22717 SE 29th St
Sammamish, WA 98075
Phone (425) 391-7337

Interoperability endpoints

  • Direct secure messaging: kzubair127501@direct.seattlechildrens.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1134294754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 140TH AVE. NE",
            "address_2": "BUILDING C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 140TH AVE. NE",
            "address_2": "BUILDING C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-828-2257",
            "fax_number": "425-896-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBAIR",
        "first_name": "KAISERA",
        "middle_name": "JAMIL",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-11-29",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00035587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAISERA",
            "last_name": "JAMIL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.