Individual provider Active NPI

Angela Gabriella Heithaus, MD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1285781583
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00035728 Issued in WA
Practice address
6300 9TH Ave NE
Seattle, WA 98115-8515
Phone
(206) 522-5646
Fax
(206) 524-5054
NPI assigned
Jan 5, 2007
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00035728 WA Primary

Addresses

Primary practice location

6300 9TH Ave NE
Seattle, WA 98115-8515

Mailing address

3821 43Rd Ave NE
Seattle, WA 98105-5446
Phone (206) 428-2080

Other identifiers 1

IdentifierTypeStateIssuer
MD00035728OtherWASTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 11, 2020 through Dec 11, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00035728WAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1285781583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 43RD AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055446",
            "telephone_number": "206-428-2080",
            "fax_number": "206-426-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 9TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158515",
            "telephone_number": "206-522-5646",
            "fax_number": "206-524-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITHAUS",
        "first_name": "ANGELA",
        "middle_name": "GABRIELLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00035728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "MD00035728",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.