Jason Andrew Agtarap, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Seattle, WA
NPI 1194576181 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1194576181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 925 Seneca St
Seattle, WA 98101-2742 - Phone
- (206) 624-1144
- NPI assigned
- Mar 28, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20240529002898 | WA | Order and Referring Only - Diagnostic Radiology |
9133561699 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
925 Seneca St
Seattle, WA 98101-2742
Mailing address
925 Seneca St
Mailstop H8-Gme
Seattle, WA 98101-2742
Other providers in Seattle, WA
- Janvi Agrawal
- Shweta Agrawal
- Maria Alejandra Agrella Diaz
- Amanda Agrellas
- Richard Agress
- Jason Aguas
- Patricia Agudelo Suarez
- Ruben Dario Agudelo-Jimenez
- Leanalynn Aguila
- Surya Evelyn Aguilar Arista
All providers in Seattle, WA · Student in an Organized Health Care Education/Training Program in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.