Active NPI
Trefan Archibald, MD
- Critical Care Medicine (Anesthesiology) Physician
- Seattle, WA
National Provider Identifier
1174840508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- MD60344868
- Practice address
- 325 9TH Ave
Seattle, WA 98104-2420 - Phone
- (206) 744-3059
- NPI assigned
- Apr 25, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | MD60344868 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Seattle, WA 98104-2420
Mailing address
University of Washington
1959 NE Pacific Street, Box 356421
Seattle, WA 98195-6421
Phone (206) 543-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174840508 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130604000141 | WA | Practitioner - Anesthesiology | 3173761178 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Anesthesia PC | Current | Accepting new patients |
Locations
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
7320 216th St SW
Ste 140
Edmonds, WA 98026
Phone (425) 673-3750
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
Organizations & group practices 2
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.
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Colorado School of Medicine, Denver, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Anesthesia PC
Practice addresses (Care Compare)
7320 216TH St SW
Suite 140
Edmonds, WA 98026-8028
Phone (425) 673-3760
Hospital & facility affiliations
- St Francis Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1174840508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF WASHINGTON",
"address_2": "1959 NE PACIFIC STREET, BOX 356421",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981956421",
"telephone_number": "206-543-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHIBALD",
"first_name": "TREFAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-25",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "WA",
"license": "MD60344868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174840508",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.