Active NPI
Jose Portillo, CRNA
- Certified Registered Nurse Anesthetist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61017594
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-4379 - Phone
- (206) 520-5000
- NPI assigned
- Feb 6, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP61017594 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-4379
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other practice location 1
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
450 NW Gilman Blvd
Suite 303
Issaquah, WA 98027-2483
Phone (425) 310-2542
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.2 of 100
- Quality
- 80.9
- Improvement activities
- 40
- Cost
- 75.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61017594 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Washington Medical Group, Inc, PS | Current | Accepting new patients | |
| Physicians Anesthesia Service PLLC | Current | Accepting new patients | |
| Seattle Hand Surgery Group PC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Precision Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Association of University Physicians | Current | Accepting new patients |
Locations
21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650
450 NW Gilman Blvd
Ste 303
Issaquah, WA 98027
Phone (425) 310-2542
11335 NE 122nd Way
Ste 105
Kirkland, WA 98034
Phone (206) 899-5479
11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500
1229 Madison St
Ste 1440
Seattle, WA 98104
Phone (206) 625-0578
11027 Meridian Ave N
Ste 100
Seattle, WA 98133
Phone (206) 365-4492
501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
600 Broadway
Ste 270
Seattle, WA 98122
Phone (206) 381-0269
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Issaquah, WA
- NPI 1629964150
Nurse Anesthetist, Certified Registered
-
dba University of Washington Physicians
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
-
dba U.S. Anesthesia Partners of Washington
- Anesthesiology Physician
- Seattle, WA
- NPI 1417962200
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, WA
-
- Certified Registered Nurse Anesthetist
- Kirkland, WA
- NPI 1962935197
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1588711162
-
dba DBA: Gateway Surgery Center
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1013138536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Washington Medical Center
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1235761362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981954379",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [
{
"address_1": "747 Broadway",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981224379",
"country_code": "US",
"telephone_number": "206-386-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTILLO",
"first_name": "JOSE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-06",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61017594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.