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
Hospital & facility affiliations 1
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
Practice addresses (Care Compare)
202 N Division St
Auburn, WA 98001-4939
Phone (253) 833-7711
Hospital & facility affiliations
- Multicare Auburn Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906001011 | WA | Practitioner - Emergency Medicine | 4587077383 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61433458 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Emergency Physicians Inc. | Emergency Medicine | Current |
Accepting new patients |
Locations
202 N Division St
Auburn, WA 98001
Phone (253) 333-2562
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Blythe Borders-Ashe
- Mary L Borgstadt
- Tamara Jade Borland
- Peter Bosak
- Micaela Bosco-Meissner
- Jakobie Latrell Bouie
- Hayley Kaitlin Boultinghouse
- Kay Theresa Bowen
- Jalena J Bown
- Collette Anjorie Brackett
All providers in Auburn, WA · Emergency Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.