Individual provider Active NPI

David Gene Reuter, M.D., PH.D.

  • Pediatrics Physician
  • Bothell, WA
National Provider Identifier
1285713693
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00035564 Issued in WA
Practice address
11724 NE 195TH Street
Suite #100
Bothell, WA 98011
Phone
(425) 318-3100
Fax
(425) 318-3101
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00035564 WA Primary

Addresses

Primary practice location

11724 NE 195TH Street
Suite #100
Bothell, WA 98011

Mailing address

11724 NE 195TH Street
Suite #100
Bothell, WA 98011
Phone (425) 861-7599

Other identifiers 1

IdentifierTypeStateIssuer
8219875MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140703000966 WA Practitioner - Pediatric Medicine 1850516949 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children'S Hospital Current Accepting new patients
Seattle Childrens Hospital CurrentSince Apr 8, 2014 Accepting new patients
Pediatric Associates, Inc., Dba Allegro Pediatrics Pediatrics CurrentSince Nov 27, 2022 Accepting new patients
Children'S Hospital & Regional Medical Center 2 Past Accepting new patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics PastSince Nov 27, 2022 Accepting new patients

Locations

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

11724 NE 195th St
Ste 100
Bothell, WA 98011
Phone (425) 318-3100

34503 9th Ave S
Ste 300
Federal Way, WA 98003
Phone (253) 838-5878

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: dreuter127487@direct.seattlechildrens.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1285713693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11724 NE 195TH STREET",
            "address_2": "SUITE #100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011",
            "telephone_number": "425-861-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11724 NE 195TH STREET",
            "address_2": "SUITE #100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011",
            "telephone_number": "425-318-3100",
            "fax_number": "425-318-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUTER",
        "first_name": "DAVID",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00035564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8219875",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.