Adrian Berto Boscolo-Hightower, MD

Individual provider Active NPI Emergency Medicine Physician · Auburn, WA

NPI 1174152201 · NPPES record last updated Aug 22, 2024

Key facts

NPI
1174152201
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
MD61433458 (WA)
Practice address
202 N Division St
Auburn, WA 98001-4939
Phone
(800) 225-0953
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Emergency Physicians Inc (19 clinicians)

Practice addresses (Care Compare)

202 N Division St
Auburn, WA 98001-4939
Phone (253) 833-7711

Hospital & facility affiliations

  • Multicare Auburn Medical Center Hospital · Auburn, WA · CCN 500015

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240906001011 WA Practitioner - Emergency Medicine 4587077383 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61433458WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Emergency Physicians Inc. Emergency Medicine Current
since Sep 1, 2024
Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD61433458 WA Yes

Addresses

Primary practice location

202 N Division St
Auburn, WA 98001-4939

Mailing address

180 Via Verde Ste 100
San Dimas, CA 91773-3993
Phone (877) 346-2211

Other practice location 1

325 9th Ave # 3Ec-22
Seattle, WA 98104-2420
Phone (206) 744-3000

Other providers in Auburn, WA

All providers in Auburn, WA · Emergency Medicine Physician in Washington

Sources for this page

Verify at the official NPI Registry.