Individual provider Active NPI

Ava Carroll Haymon, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Federal Way, WA
National Provider Identifier
1154492155
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD00041490 Issued in WA
Practice address
1414 S 324TH St Ste B207
Federal Way, WA 98003-8444
Phone
(253) 220-3121
Fax
(415) 252-7176
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00041490 WA
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD00041490 WA Primary

Addresses

Primary practice location

1414 S 324TH St Ste B207
Federal Way, WA 98003-8444

Mailing address

1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628

Other practice location 1

1801 NW Market St Ste 403
Seattle, WA 98107-3901
Phone (206) 297-5100

Other practice location 2

1401 Madison St Ste 100
Seattle, WA 98104-1316
Phone (206) 386-6111

Other identifiers 1

IdentifierTypeStateIssuer
1043089MedicaidWA

Other names 1

  • Dr. A Carroll Haymon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050323000842 WA Practitioner - Family PracticePractitioner - Geriatric Medicine 0244286201 Reassigns benefits to 4 organizations
I20250722003245 GA Practitioner - Family Practice 0244286201

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Tufts University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1401 Madison St
Suite 100
Seattle, WA 98104-1316
Phone (206) 386-6111

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC CurrentSince May 19, 2025 Accepting new patients
Iora Health Washington Physicians, P.C. Current Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince May 19, 2025 Accepting new patients
Integrated Ny Medical Care, PLLC PastSince Apr 1, 2020 Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

101 Tremont St
Fl 6
Boston, MA 02108

1414 S 324th St
Ste B207
Federal Way, WA 98003
Phone (253) 220-3121

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

306 23rd Ave S
Ste 200
Seattle, WA 98144
Phone (206) 518-9033

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

Interoperability endpoints

  • Direct secure messaging: ahaymon3160324@wm.providencedirect.org

Organizations & group practices 9

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 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1154492155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR FL 19",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113628",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S 324TH ST STE B207",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038444",
            "telephone_number": "253-220-3121",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 NW Market St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981073901",
            "country_code": "US",
            "telephone_number": "206-297-5100",
            "fax_number": "206-297-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Madison St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041316",
            "country_code": "US",
            "telephone_number": "206-386-6111",
            "fax_number": "206-386-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYMON",
        "first_name": "AVA",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041490",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00041490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043089",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "HAYMON",
            "middle_name": "CARROLL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.