NPIMap

Individual provider Active NPI

Walter Quinton Gradek, MD

  • Cardiovascular Disease Physician
  • Seattle, WA
National Provider Identifier
1164490892
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD60917858 Issued in WA
Practice address
1600 E Jefferson St Ste 600
Seattle, WA 98122
Phone
(206) 861-8550
Fax
(206) 861-8551
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 046107 GA
Cardiovascular Disease Physician 207RC0000X MD60917858 WA Primary

Addresses

Primary practice location

1600 E Jefferson St Ste 600
Seattle, WA 98122

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
1164490892MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402001213 WA Practitioner - Cardiovascular Disease (Cardiology) 4082622634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 7517870645, 79 clinicians

Practice addresses (Care Compare)

550 17TH Ave
FL 6
Seattle, WA 98122-5788
Phone (206) 861-8550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
80.66
Promoting interoperability
100
Improvement activities
40
Cost
77.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
Swedish Health Services Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Swedish Health Services Past Accepting new patients
Piedmont Professional Services, LLC Cardiovascular Disease Past Accepting new patients

Locations

12917 SE 38th St
Ste 100
Bellevue, WA 98006
Phone (206) 292-7990

1200 112th Ave NE
Ste B250
Bellevue, WA 98004
Phone (206) 386-6266

7320 216th St SW
Ste 210
Edmonds, WA 98026
Phone (206) 292-7990

1801 NW Market St
Ste 207
Seattle, WA 98107
Phone (206) 320-7330

800 5th Ave
Ste 600
Seattle, WA 98104

550 17th Ave
Fl 6
Seattle, WA 98122

1600 E Jefferson St
Ste 600
Seattle, WA 98122
Phone (206) 320-2982

Organizations & group practices 6

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 6

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1164490892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98122",
            "telephone_number": "206-861-8550",
            "fax_number": "206-861-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADEK",
        "first_name": "WALTER",
        "middle_name": "QUINTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "046107",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60917858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164490892",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.