NPIMap

Individual provider Active NPI

Eileen T. Consorti, M.D.

  • Surgery Physician
  • Bellevue, WA
National Provider Identifier
1235171307
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD61217792 Issued in WA
Practice address
1135 116TH Ave NE Ste 200
Bellevue, WA 98004-4695
Phone
(425) 688-0212
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD61217792 WA Primary

Addresses

Primary practice location

1135 116TH Ave NE Ste 200
Bellevue, WA 98004-4695

Mailing address

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

Other names 1

  • Eileen T Consorti Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112000753 WA Practitioner - General Surgery 7315904737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

1135 116TH Ave NE
Suite 200
Bellevue, WA 98004-4695
Phone (425) 635-3400

Hospital & facility affiliations

  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy19
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics LLC CurrentSince Dec 1, 2021 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Dec 1, 2021 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Kelsey-Seybold Medical Group, PLLC Past Accepting new patients
CHI St. Luke'S Health Baylor College of Medicine Medical Center Past Accepting new patients
Van Buren Hma LLC Past Accepting new patients
Texas Children'S Hospital Past Accepting new patients
Alameda Health System Past Accepting new patients
Lisa Bailey and Associates, a Professional Medical Corporation Past Accepting new patients

Locations

1135 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 635-3400

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1235171307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044604",
            "telephone_number": "425-688-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044695",
            "telephone_number": "425-688-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSORTI",
        "first_name": "EILEEN",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61217792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "CONSORTI",
            "middle_name": "T",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.