Individual provider Active NPI

Richard B Grabowski, MD

  • Dermatology Physician
  • Seattle, WA
National Provider Identifier
1194720680
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00043291 Issued in WA
Practice address
1021 Mercer St
Seattle, WA 98109-4324
Phone
(206) 489-2530
Fax
(206) 489-2531
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD00043291 WA Primary

Addresses

Primary practice location

1021 Mercer St
Seattle, WA 98109-4324

Mailing address

1021 Mercer St
Seattle, WA 98109-4324
Phone (206) 489-2530

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
I20040831000396 WA Practitioner - Dermatology 8426023722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albany Medical College of Union University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Dermatology PLLCGroup PAC ID 1456672096, 6 clinicians

Practice addresses (Care Compare)

1021 Mercer St
Seattle, WA 98109-4324
Phone (206) 489-2530

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions694
Skin biopsy127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00043291WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dermatology, PLLC Dermatology CurrentSince Jul 1, 2020 Accepting new patients
Integrated Dermatology of I Street, LLC Dermatology PastSince Apr 1, 2016 Accepting new patients
Edward H Stolar MD PC Dermatology PastSince Sep 1, 2002 Accepting new patients

Locations

1021 Mercer St
Seattle, WA 98109
Phone (206) 489-2530

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1194720680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MERCER ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094324",
            "telephone_number": "206-489-2530",
            "fax_number": "206-489-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MERCER ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094324",
            "telephone_number": "206-489-2530",
            "fax_number": "206-489-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOWSKI",
        "first_name": "RICHARD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00043291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.