Active NPI
Ge Zhao, M.D.,PH.D.
- Dermatology Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD60537019
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019152 | 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
- 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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 29 |
| Skin biopsy | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60537019 | WA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walla Walla Clinic, Inc. | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Radiant Dermatology LLC | Dermatology | Current | Accepting new patients |
| Walla Walla Clinic, Inc. | Current | Accepting new patients | |
| Privia Medical Group Washington, PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | 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
- ge.alice.zhao.1@28594.direct.athenahealth.com
- https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
- 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.
-
dba Walla Walla Clinic (Professional)
- Clinic/Center
- Walla Walla, WA
- NPI 1780658419
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Dermatology Physician
- Bellevue, WA
- NPI 1679265516
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
dba Walla Walla Clinic Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Walla Walla, WA
- NPI 1760568273
-
dba Walla Walla Clinic Milton-Freewater
- Clinic/Center
- Milton Freewater, OR
- NPI 1063521862
-
dba University of Washington Medical Center Ambulatory
- Community/Retail Pharmacy
- Seattle, WA
- NPI 1013950336
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.