NPIMap

Individual provider Active NPI

Arthur Eric Anderson, M.D.

  • Nephrology Physician
  • Bellevue, WA
National Provider Identifier
1174529341
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD00045087 Issued in WA
Practice address
1370 116TH Ave NE Ste 209
Bellevue, WA 98004-3825
Phone
(425) 453-8406
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD00045087 WA Primary

Addresses

Primary practice location

1370 116TH Ave NE Ste 209
Bellevue, WA 98004-3825

Mailing address

1902 48TH Ave SW
Seattle, WA 98116-1945
Phone (425) 453-8406

Other practice location 1

1959 NE Pacific Street
Box 356521
Seattle, WA 98195-6521
Phone (206) 543-0410

Other identifiers 2

IdentifierTypeStateIssuer
1174529341MedicaidWA
0230685OtherWAL&I

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
I20050726000299 WA Practitioner - NephrologyPractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8527095108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Rush Medical College of Rush University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Kidney SpecialistsGroup PAC ID 0446482533, 7 clinicians

Practice addresses (Care Compare)

1370 116TH Ave NE
Suite 209
Bellevue, WA 98004-3825
Phone (425) 453-8406

Hospital & facility affiliations

  • NKC Yesler Terrace Kidney Center Dialysis facility, Seattle, WA, CCN 502500
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
Cascade Kidney Specialists Nephrology CurrentSince Jul 1, 2021 Accepting new patients
King County Public Hospital District No 2 CurrentSince Aug 1, 2021 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Aug 1, 2021 Accepting new patients

Locations

1370 116th Ave NE
Ste 209
Bellevue, WA 98004
Phone (425) 453-8406

11521 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-6800

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

Interoperability endpoints

  • Direct secure messaging: arthur.anderson.1@31057.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1174529341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 48TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981161945",
            "telephone_number": "425-453-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE STE 209",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043825",
            "telephone_number": "425-453-8406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific Street",
            "address_2": "Box 356521",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981956521",
            "country_code": "US",
            "telephone_number": "206-543-0410",
            "fax_number": "206-685-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ARTHUR",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-08-03",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00045087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174529341",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0230685",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.