Active NPI
Adam P. Sangeorzan, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- MD60962560
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2028849 | 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
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
Practice addresses (Care Compare)
12039 NE 128TH St
Suite 400
Kirkland, WA 98034-3029
Phone (425) 899-1210
Hospital & facility affiliations
- Evergreenhealth Medical Center
- Evergreenhealth Monroe
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Proliance Surgeons Inc., P.S. | Orthopaedic Surgery | Current | 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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1558300434
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
- General Acute Care Hospital
- Monroe, WA
- NPI 1013074061
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Monroe, WA
- NPI 1770614273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.