Individual provider Active NPI

Bassim M Dowidar, MD

  • Emergency Medicine Physician
  • Seattle, WA
National Provider Identifier
1164474243
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00046057 Issued in WA
Practice address
500 17TH Ave
Seattle, WA 98122-5711
Phone
(206) 320-2111
Fax
(206) 320-3396
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00046057 WA Primary

Addresses

Primary practice location

500 17TH Ave
Seattle, WA 98122-5711

Mailing address

PO Box 84026
Seattle, WA 98124-8426
Phone (206) 320-2111

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
I20060630000293 WA Practitioner - Emergency Medicine 2769494087 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Emergency Services PSGroup PAC ID 4981694155, 48 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1000

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00046057WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 Current Accepting new patients
Eastside Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 17, 2016 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Seattle Emergency Physicians Services Inc PS Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 17, 2016 Accepting new patients
King County Public Hospital District No. 2 CurrentSince May 4, 2016 Accepting new patients
Public Hospital District No 2 CurrentSince May 4, 2016 Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

16410 84th St NE
Ste D605
Lake Stevens, WA 98258

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

8980 161st Ave NE
Ste 320
Redmond, WA 98052
Phone (425) 823-4000

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

16916 140th Ave NE
Ste 200
Woodinville, WA 98072
Phone (425) 488-2273

Organizations & group practices 10

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1164474243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84026",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981248426",
            "telephone_number": "206-320-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 17TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225711",
            "telephone_number": "206-320-2111",
            "fax_number": "206-320-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWIDAR",
        "first_name": "BASSIM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00046057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.