Individual provider Active NPI

Adam P. Sangeorzan, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Seattle, WA
National Provider Identifier
1174865224
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
MD60962560 Issued in WA
Practice address
601 Broadway FL 6
Seattle, WA 98122
Phone
(206) 386-2600
Fax
(206) 622-1644
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD60962560 WA
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X MD60962560 WA Primary

Addresses

Primary practice location

601 Broadway FL 6
Seattle, WA 98122

Mailing address

601 Broadway FL 6
Seattle, WA 98122-5330
Phone (206) 386-2600

Other practice location 1

3400 California Ave SW Ste 210
Seattle, WA 98116-3307
Phone (206) 309-4464

Other practice location 2

751 NE Blakely Dr Ste 4020
Issaquah, WA 98029-6201
Phone (206) 386-2600

Other identifiers 1

IdentifierTypeStateIssuer
2028849MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007002549 WA Practitioner - Orthopedic Surgery 9537486634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

12039 NE 128TH St
Suite 400
Kirkland, WA 98034-3029
Phone (425) 899-1210

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124
  • Evergreenhealth Monroe Hospital, Monroe, WA, CCN 500084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Orthopaedic Surgery Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Oct 1, 2021 Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery CurrentSince Sep 16, 2019 Accepting new patients
King County Public Hospital District No 2 CurrentSince Oct 1, 2021 Accepting new patients
Proliance Surgeons Inc., P.S. Orthopaedic Surgery CurrentSince Sep 16, 2019 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

751 NE Blakely Dr
Ste 4020
Issaquah, WA 98029
Phone (425) 313-7077

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12039 NE 128th St
Ste 400
Kirkland, WA 98034
Phone (425) 899-4810

14841 179th Ave SE
Ste 330
Monroe, WA 98272
Phone (360) 794-3300

601 Broadway
Fl 6
Seattle, WA 98122
Phone (206) 633-8100

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

3400 California Ave SW
Ste 210
Seattle, WA 98116
Phone (206) 215-6900

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 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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1174865224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROADWAY FL 6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225330",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROADWAY FL 6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98122",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 California Ave SW Ste 210",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981163307",
            "country_code": "US",
            "telephone_number": "206-309-4464",
            "fax_number": "206-386-9544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 NE Blakely Dr Ste 4020",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980296201",
            "country_code": "US",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGEORZAN",
        "first_name": "ADAM",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60962560",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "WA",
            "license": "MD60962560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028849",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.