Active NPI
Setsuko Hosoda, MD
- Family Medicine Physician
- Kirkland, WA
National Provider Identifier
1164585204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00036638
- Practice address
- 11800 NE 128TH St FL 5
Kirkland, WA 98034-7208 - Phone
- (425) 899-5200
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00036638 | WA | Primary |
Addresses
Primary practice location
11800 NE 128TH St FL 5
Kirkland, WA 98034-7208
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 899-5200
Other practice location 1
4426 Burke Ave N
Seattle, WA 98103-7536
Phone (206) 905-5917
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8293268 | Medicaid | WA | |
| 0175446 | Other | WA | LABOR AND INDUSTRIES |
| 1043123 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1154318103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164585204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-899-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 NE 128TH ST FL 5",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347208",
"telephone_number": "425-899-5200"
}
],
"practiceLocations": [
{
"address_1": "4426 Burke Ave N",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981037536",
"country_code": "US",
"telephone_number": "206-905-5917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOSODA",
"first_name": "SETSUKO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00036638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8293268",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0175446",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043123",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.