Active NPI
Rossana Cecilia Palomino, MD
- Pediatrics Physician
- Kirkland, WA
National Provider Identifier
1225199466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60247487
- Practice address
- 13030 121St Way NE
Suite #100
Kirkland, WA 98034 - Phone
- (425) 814-5170
- Fax
- (425) 823-5826
- NPI assigned
- Dec 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K4765 | TX | |
| Pediatrics Physician | 208000000X | MD60247487 | WA | Primary |
Addresses
Primary practice location
13030 121St Way NE
Suite #100
Kirkland, WA 98034
Mailing address
13030 121St Way NE
Suite #100
Kirkland, WA 98034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047517003 | Medicaid | TX | |
| 89500K | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4765 | TX | MD | Pediatrics Physician |
| MD60247487 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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 Sammamish
- Pediatrics Physician
- Sammamish, WA
- NPI 1699849331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1225199466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13030 121ST WAY NE",
"address_2": "SUITE #100",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13030 121ST WAY NE",
"address_2": "SUITE #100",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-814-5170",
"fax_number": "425-823-5826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOMINO",
"first_name": "ROSSANA",
"middle_name": "CECILIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K4765",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60247487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047517003",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89500K",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.