Active NPI
Heidi T Rogers, MD
- Family Medicine Physician
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00036349
- Practice address
- 13014 120TH Ave NE
Kirkland, WA 98034-3015 - Phone
- (425) 821-8004
- NPI assigned
- Aug 15, 2006
- Last updated
- Apr 7, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00036349 | WA | Primary |
Addresses
Primary practice location
13014 120TH Ave NE
Kirkland, WA 98034-3015
Mailing address
1100 Olive Way MSC M4-PA
Seattle, WA 98101-1873
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9229RO | Other | WA | BLUE SHIELD |
| US2253512 | Other | WA | AETNA/USHC SPECIALIST |
| 8251266 | Medicaid | WA | |
| 0039581 | Other | WA | LABOR & INDUSTRY |
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
- Family Practice
- Education
- University of Washington School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 NE 128TH St
Suite 300
Kirkland, WA 98034-7211
Phone (425) 821-8004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00036349 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients |
Locations
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
11800 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 814-5100
13014 120th Ave NE
Kirkland, WA 98034
Phone (425) 821-8004
4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
Interoperability endpoints
- heidi.rogers@direct.vmmc.org
- https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
dba Virginia Mason Medical Center-Lynnwood Clinic
- Internal Medicine Physician
- Lynnwood, WA
- NPI 1568510774
-
dba St Joseph Medical Center
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
-
dba Virginia Mason Medical Center-Gastroenterology
- Gastroenterology Physician
- Seattle, WA
- NPI 1003970989
-
- Durable Medical Equipment & Medical Supplies
- Kirkland, WA
- NPI 1285772723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1235242447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 OLIVE WAY MSC M4-PA",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13014 120TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343015",
"telephone_number": "425-821-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "HEIDI",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00036349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "9229RO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC SPECIALIST",
"identifier": "US2253512",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8251266",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0039581",
"state": "WA"
}
],
"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 Apr 7, 2008; 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.