Assadullah Kazemi, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MD00031515 Issued in WA

Practice address

4515 MLK Way
Providence Elderplace,
Seattle, WA 98108

Phone

(206) 320-5325

Fax

(206) 320-5326

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: akazemi202005@wm.providencedirect.org

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.

• Providence Health & Services - Washington

  • Exclusive Provider Organization
  • Seattle, WA
  • NPI 1881681518
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1245380468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MARTIN LUTHER KING JR WAY S",
            "address_2": "STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082183",
            "telephone_number": "206-320-5325",
            "fax_number": "206-320-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MLK WAY",
            "address_2": "PROVIDENCE ELDERPLACE,",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98108",
            "telephone_number": "206-320-5325",
            "fax_number": "206-320-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEMI",
        "first_name": "ASSADULLAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00031515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8203192",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nia Kaye
• Nicola J Kaye, ARNP
• Kathleen Noel Kaysinger, CRNA
• Andrew Michael Kaz, MD
• Sandrine Djou Kaze
• Sahar Kazemi, DNP, ARNP, FNP-BC
• Melody Kazemini, PHARMD
• Amber Jasmine Kazi, MD
• Lindsay Kazi
• Katherine Marie Kazmier, MD

• Geriatric Medicine (Family Medicine) Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Geriatric Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.