Individual provider Active NPI

Lee'Or T. Rutenberg, PA-C

  • Surgical Physician Assistant
  • Seattle, WA
National Provider Identifier
1205383148
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA60794313 Issued in WA
Practice address
601 Broadway Ste 600
Seattle, WA 98122-5330
Phone
(206) 386-6171
Fax
(206) 860-6634
NPI assigned
Sep 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA60794313 WA Primary

Addresses

Primary practice location

601 Broadway Ste 600
Seattle, WA 98122-5330

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
2090608MedicaidWA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023000395 WA Practitioner - Physician Assistant 6507132354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Opa Ortho PLLCGroup PAC ID 7012371305, 42 clinicians

Practice addresses (Care Compare)

601 Broadway
Suite 600
Seattle, WA 98122-5330
Phone (206) 386-6171

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60794313WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Opa Ortho PLLC CurrentSince Oct 22, 2023 Accepting new patients
Proliance Surgeons Inc P S Surgical CurrentSince Jun 13, 2023 Accepting new patients
Proliance Surgeons Inc., P.S. CurrentSince Jun 13, 2023 Accepting new patients
Proliance Surgeons, Inc., P.S Surgical CurrentSince Jun 13, 2023 Accepting new patients
Swedish Health Services CurrentSince Jan 5, 2026 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

4455 148th Ave NE
Ste B1
Bellevue, WA 98007

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

20700 Bond Rd NE
Ste 103
Poulsbo, WA 98370
Phone (206) 799-2132

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

601 Broadway
#700
Seattle, WA 98122
Phone (206) 622-2600

601 Broadway
Fl 7
Seattle, WA 98122
Phone (206) 518-6311

601 Broadway
Ste 600
Seattle, WA 98122
Phone (206) 386-2000

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

601 Broadway
Fl 6
Seattle, WA 98122
Phone (206) 633-8100

Interoperability endpoints

  • Direct secure messaging: leeor.rutenberg.p1@direct.opa.nextgenshare.com

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 1

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1205383148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROADWAY STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225330",
            "telephone_number": "206-386-6171",
            "fax_number": "206-860-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTENBERG",
        "first_name": "LEE'OR",
        "middle_name": "T.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60794313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090608",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.