Individual provider Active NPI

Jason Deen, M.D.

  • Pediatric Cardiology Physician
  • Seattle, WA
National Provider Identifier
1164690046
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD60143659 Issued in WA
Practice address
4745 49TH Ave NE
Seattle, WA 98105-3829
Phone
(612) 310-2277
NPI assigned
Feb 13, 2008
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X MD60143659 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4745 49TH Ave NE
Seattle, WA 98105-3829

Mailing address

4745 30TH Ave NE
Seattle, WA 98105-5501
Phone (206) 769-3012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 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
I20141223002192 WA Practitioner - Adult Congenital Heart Disease (Achd)Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0749503738 Reassigns benefits to 3 organizations
I20230127000354 AK Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 0749503738

Care Compare profile

Medicare Care Compare
Specialty
Adult Congenital Heart Disease (Achd)Also: Internal Medicine, Pediatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

1701 Columbia Rd
Seattle, WA 98195-0001
Phone (206) 598-3100

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333

24360 Van Ry Blvd
Suite 111
Mountlake Terrace, WA 98043-5457
Phone (206) 598-9091

728 Edmonds Way
Rosewood Courte Memory Care
Edmonds, WA 98020-5126
Phone (425) 673-2875

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Dec 3, 2014 Accepting new patients
Seattle Childrens Hospital CurrentSince Jan 24, 2023 Accepting new patients
The Association of Chrmc and University Physicians Pediatric Cardiology CurrentSince Sep 30, 2014 Accepting new patients
Seattle Children's Hospital Pediatric Cardiology CurrentSince Jan 24, 2023 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Association of CHMC and University Physicians Pediatric Cardiology CurrentSince Sep 30, 2014 Accepting new patients
Central Washington Health Services Association CurrentSince Jun 1, 2023 Accepting new patients

Locations

3260 Providence Dr
Anchorage, AK 99508
Phone (907) 212-3655

3841 Piper St
Ste T345
Anchorage, AK 99508
Phone (907) 339-1945

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1959 NE Pacific St
Fl 3
Seattle, WA 98195
Phone (206) 543-8981

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

Interoperability endpoints

  • Direct secure messaging: jason.deen.p1@direct.porterheart.nextgenshare.com
  • Direct secure messaging: jdeen16549@direct.seattlechildrens.org
  • Direct secure messaging: jdeen97739@direct.ehre.uwmedicine.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1164690046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 30TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055501",
            "telephone_number": "206-769-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 49TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053829",
            "telephone_number": "612-310-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WA",
            "license": "MD60143659",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.