Individual provider Active NPI

Ge Zhao, M.D.,PH.D.

  • Dermatology Physician
  • Bellevue, WA
National Provider Identifier
1205135092
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD60537019 Issued in WA
Practice address
11711 NE 12TH St Ste 2C
Bellevue, WA 98005-2461
Phone
(425) 400-8008
Fax
(877) 880-6829
NPI assigned
Mar 21, 2011
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 MD60537019 WA Primary

Addresses

Primary practice location

11711 NE 12TH St Ste 2C
Bellevue, WA 98005-2461

Mailing address

PO Box 3348
Bellevue, WA 98009-3348
Phone (425) 400-8008

Other identifiers 1

IdentifierTypeStateIssuer
2019152MedicaidWA

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
I20150526002141 WA Practitioner - Dermatology 1052631405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15611 Bel Red Rd
Suite 100
Bellevue, WA 98008-2311
Phone (425) 400-8008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions29
Skin biopsy15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60537019WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Jan 7, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince May 2, 2016 Accepting new patients
Radiant Dermatology LLC Dermatology CurrentSince Aug 8, 2023 Accepting new patients
Walla Walla Clinic, Inc. Current Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Jan 7, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince May 2, 2016 Accepting new patients
University of Washington Past Accepting new patients

Locations

11711 NE 12th St
Ste 2C
Bellevue, WA 98005
Phone (425) 400-8008

15611 Bel Red Rd
Ste 100
Bellevue, WA 98008
Phone (425) 400-8008

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

4004 Colby Ave
Everett, WA 98201
Phone (425) 317-3641

4004 Colby Ave
#101
Everett, WA 98201
Phone (206) 289-0966

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

17000 140th Ave NE
Unit 101
Woodinville, WA 98072
Phone (425) 481-6363

Interoperability endpoints

  • Direct secure messaging: ge.alice.zhao.1@28594.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00402

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1205135092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3348",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980093348",
            "telephone_number": "425-400-8008",
            "fax_number": "877-880-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST STE 2C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-400-8008",
            "fax_number": "877-880-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "GE",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60537019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019152",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.