Individual provider Active NPI

Grace Kay Chao, PAC

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1134496862
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60251111 Issued in WA
Practice address
509 Olive Way
Suite 900
Seattle, WA 98101-1720
Phone
(206) 860-4700
Fax
(206) 624-9520
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60251111 WA Primary

Addresses

Primary practice location

509 Olive Way
Suite 900
Seattle, WA 98101-1720

Mailing address

509 Olive Way
Suite 900
Seattle, WA 98101-1720
Phone (206) 860-4700

Other identifiers 1

IdentifierTypeStateIssuer
1134496862MedicaidWA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120106000223 WA Practitioner - Physician Assistant 1052587433 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puget Sound Medical Associates LLCGroup PAC ID 7214370543, 2 clinicians

Practice addresses (Care Compare)

21616 76TH Ave W
Suite 202
Edmonds, WA 98026-7543
Phone (425) 585-2452

Hospital & facility affiliations

  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC CurrentSince Aug 3, 2015 Accepting new patients
Multicare Health System CurrentSince Dec 11, 2016 Accepting new patients
Multicare Health System CurrentSince Dec 11, 2016 Accepting new patients
DRX Wa Urgent Care Providers PLLC Physician Assistant CurrentSince Aug 17, 2016 Accepting new patients
The Polyclinic PLLC CurrentSince Aug 3, 2015 Accepting new patients
Edmonds Family Care, PLLC Past Accepting new patients

Locations

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

1145 Broadway
Seattle, WA 98122

9000 Holman Rd NW
Ste A1
Seattle, WA 98117
Phone (206) 706-9001

509 Olive Way
Ste 900
Seattle, WA 98101
Phone (206) 860-4413

Interoperability endpoints

  • Direct secure messaging: grace.chao@568714459938820.direct.elationemr.com
  • Direct secure messaging: gchao20919@direct.tecmc.com

Organizations & group practices 8

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 2

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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1134496862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-860-4700",
            "fax_number": "206-624-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-860-4700",
            "fax_number": "206-624-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "GRACE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60251111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134496862",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.