Individual provider Active NPI

David Allan Gruenewald, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
National Provider Identifier
1285737189
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD00021894 Issued in WA
Practice address
1660 S Columbian Way
VA Puget Sound Health Care System, S-182-Gec
Seattle, WA 98108-1597
Phone
(206) 764-2869
Fax
(206) 764-2569
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00021894 WA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD00021894 WA Primary

Addresses

Primary practice location

1660 S Columbian Way
VA Puget Sound Health Care System, S-182-Gec
Seattle, WA 98108-1597

Mailing address

1660 S Columbian Way
VA Puget Sound Health Care System, S-182-Gec
Seattle, WA 98108-1597
Phone (206) 764-2869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00021894WAMDGeriatric Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285737189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "address_2": "VA PUGET SOUND HEALTH CARE SYSTEM, S-182-GEC",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081597",
            "telephone_number": "206-764-2869",
            "fax_number": "206-764-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "address_2": "VA PUGET SOUND HEALTH CARE SYSTEM, S-182-GEC",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081597",
            "telephone_number": "206-764-2869",
            "fax_number": "206-764-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENEWALD",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00021894",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00021894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.