NPIMap

Organization Active NPI

The Association of Chrmc and University Physicians

Doing business as Children's University Medical Group

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1255449963
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS
Doing business as
Children's University Medical Group
Practice address
4500 Sand Point Way NE
Seattle, WA 98105-3900
Phone
(206) 987-8450
Fax
(206) 987-8484
NPI assigned
Aug 25, 2006
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Patti Adamich
Title
Associate Director of Finance
Phone
(206) 987-8471

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X NU
Clinical Genetics (M.D.) Physician 207SG0201X NU
Neurological Surgery Physician 207T00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Otolaryngology Physician 207Y00000X NU
Pediatrics Physician 208000000X NU Primary
Neonatal-Perinatal Medicine Physician 2080N0001X NU
Pediatric Cardiology Physician 2080P0202X NU
Pediatric Hematology & Oncology Physician 2080P0207X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Psychiatry Physician 2084P0800X NU
Pediatric Radiology Physician 2085P0229X NU
Surgery Physician 208600000X NU

Addresses

Primary practice location

4500 Sand Point Way NE
Seattle, WA 98105-3900

Mailing address

PO Box 94390
Seattle, WA 98124-6690
Phone (206) 987-8450

Other names 1

  • Children's University Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000585 WA Part B Supplier - Clinic/Group Practice 9133032964 Receives reassigned benefits from 1,431 practitioners
3 other NPIs on this enrollment
Practice locations: Olympia, WA; Renton, WA; Port Angeles, WA; Seattle, WA; Silverdale, WA; Tacoma, WA; Mount Vernon, WA; Kirkland, WA…

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1,493

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,493

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1255449963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94390",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246690",
            "telephone_number": "206-987-8450",
            "fax_number": "206-987-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAND POINT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053900",
            "telephone_number": "206-987-8450",
            "fax_number": "206-987-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "ADAMICH",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "206-987-8471"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's University Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's University Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.