NPIMap

Individual provider Active NPI

Peter A Demopulos, MD

  • Cardiovascular Disease Physician
  • Bellevue, WA
National Provider Identifier
1194780395
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00026532 Issued in WA
Practice address
1414 116TH Ave NE
Suite E
Bellevue, WA 98004-3801
Phone
(206) 215-4545
Fax
(206) 215-4550
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD00026532 WA Primary

Addresses

Primary practice location

1414 116TH Ave NE
Suite E
Bellevue, WA 98004-3801

Mailing address

2701 1St Ave
Suite 320
Seattle, WA 98121-1111
Phone (206) 448-2516

Other practice location 1

550 17th Ave Ste 680
Seattle, WA 98122-5795
Phone (206) 215-4545

Other identifiers 2

IdentifierTypeStateIssuer
8210031MedicaidWA
0194875OtherWAL & I

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pdemopulos1041449@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050208001065 WA Practitioner - Cardiovascular Disease (Cardiology) 0042261950 Reassigns benefits to 1 organization
I20150331000092 WA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0042261950

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Stanford University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 7517870645, 79 clinicians

Practice addresses (Care Compare)

550 17TH Ave
FL 6
Seattle, WA 98122-5788
Phone (206) 861-8550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
80.66
Promoting interoperability
100
Improvement activities
40
Cost
77.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting73
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00026532WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Cardiovascular Disease CurrentSince Dec 1, 2009 Accepting new patients
Swedish Health Services Cardiovascular Disease CurrentSince Dec 1, 2009 Accepting new patients
Bellevue Heart and Vascular Center, LLC Cardiovascular Disease Past Accepting new patients
Bellevue Cardiology Clinic PLLC Cardiovascular Disease Past Accepting new patients
Swedish Health Services Past Accepting new patients
Seattle Heart and Vascular Center, LLC Cardiovascular Disease Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

12917 SE 38th St
Ste 100
Bellevue, WA 98006
Phone (206) 292-7990

7320 216th St SW
Ste 210
Edmonds, WA 98026
Phone (206) 292-7990

751 NE Blakely Dr
Ste 3020
Issaquah, WA 98029
Phone (425) 313-5345

224 N Washington St
Port Angeles, WA 98362
Phone (336) 269-3780

550 17th Ave
Ste 680
Seattle, WA 98122
Phone (206) 320-5392

550 17th Ave
Ste 450
Seattle, WA 98122
Phone (206) 320-6500

800 5th Ave
Ste 600
Seattle, WA 98104

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

550 17th Ave
Fl 6
Seattle, WA 98122

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

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 6

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1194780395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 1ST AVE",
            "address_2": "SUITE 320",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211111",
            "telephone_number": "206-448-2516",
            "fax_number": "206-448-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 116TH AVE NE",
            "address_2": "SUITE E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043801",
            "telephone_number": "206-215-4545",
            "fax_number": "206-215-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 17th Ave Ste 680",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225795",
            "country_code": "US",
            "telephone_number": "206-215-4545",
            "fax_number": "206-320-7344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMOPULOS",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00026532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8210031",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0194875",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdemopulos1041449@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 17th Ave Ste 680",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.