Individual provider Active NPI

Susan Margaret Halbach, MD

  • Pediatric Nephrology Physician
  • Seattle, WA
National Provider Identifier
1225148539
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
MD 00048452 Issued in WA
Practice address
1959 NE Pacific St
C-212, Box 356340
Seattle, WA 98195-6340
Phone
(206) 543-0065
NPI assigned
Aug 30, 2006
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X MD 00048452 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
C-212, Box 356340
Seattle, WA 98195-6340

Mailing address

4800 Sand Point Way NE
A-7932
Seattle, WA 98105-3901
Phone (206) 987-2524

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shalbach1793354@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101118001361 WA Practitioner - Other (Physician)Practitioner - PathologyPractitioner - Pediatric Medicine 1052507878 Reassigns benefits to 3 organizations
I20210825000088 AK Practitioner - Other (Physician)Practitioner - Pediatric Medicine 1052507878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: Pediatric Medicine
Education
University of Chicago, Pritzker School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3831 Piper St
Suite S220
Anchorage, AK 99508-4680
Phone (907) 212-3420

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 526-2000

910 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9100

920 Compassion Cir
Anchorage, AK 99504-1645
Phone (907) 212-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 00048452WAMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Oct 9, 2017 Accepting new patients
Providence Health & Services- Washington CurrentSince Aug 17, 2021 Accepting new patients
The Association of Chrmc and University Physicians CurrentSince Sep 19, 2010 Accepting new patients
Multicare Health System CurrentSince Apr 18, 2012 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Apr 18, 2012 Accepting new patients
Association of CHMC and University Physicians Pediatric Nephrology CurrentSince Sep 19, 2010 Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

3340 Providence Dr
Ste A351
Anchorage, AK 99508
Phone (907) 212-4800

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

969 Stevens Dr
Ste 1B
Richland, WA 99352
Phone (509) 946-0688

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1959 NE Pacific St
#C212
Seattle, WA 98195
Phone (206) 543-0065

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

4800 Sand Point Way NE
#A7932
Seattle, WA 98105

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Interoperability endpoints

  • Direct secure messaging: shalbach1793354@ak.providencedirect.org
  • Direct secure messaging: shalbach36126@direct.seattlechildrens.org

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1225148539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "A-7932",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "C-212, BOX 356340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956340",
            "telephone_number": "206-543-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBACH",
        "first_name": "SUSAN",
        "middle_name": "MARGARET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "WA",
            "license": "MD 00048452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shalbach1793354@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3340 PPOVIDENCE DR STE A-351",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.