Individual provider Active NPI

Grace T. Dy, MD

  • Emergency Medicine Physician
  • Woodinville, WA
National Provider Identifier
1295792109
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00037246 Issued in WA
Practice address
17000 140TH Ave NE
Suite 101
Woodinville, WA 98072-6942
Phone
(425) 488-2273
Fax
(425) 488-4971
NPI assigned
Apr 26, 2006
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00037246 WA Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD00037246 WA

Addresses

Primary practice location

17000 140TH Ave NE
Suite 101
Woodinville, WA 98072-6942

Mailing address

PO Box 34036
Seattle, WA 98124-1036
Phone (425) 899-3292

Other practice location 1

12800 Bothell Everett Hwy
Everett, WA 98208-6642
Phone (425) 316-5150

Other identifiers 2

IdentifierTypeStateIssuer
8241432MedicaidWA
228589OtherWALABOR & INDUSTRIES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gdy774191@wm.providencedirect.org Direct

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
I20080211000792 WA Practitioner - Emergency Medicine 6305928136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12800 Bothell Everett Hwy
Everett, WA 98208-6642

19200 N Kelsey St
Monroe, WA 98272-1431
Phone (360) 794-7994

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00037246WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Wa CurrentSince Feb 1, 2017 Accepting new patients
Providence Health & Services- Washington CurrentSince Feb 1, 2017 Accepting new patients
King County Public Hospital District No. 2 CurrentSince May 1, 2010 Accepting new patients
Public Hospital District No 2 CurrentSince May 1, 2010 Accepting new patients
King County Public Hospital District No. 2 Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Public Hospital District No 2 Past Accepting new patients
Seattle Emergency Physicians Services Inc PS Emergency Medicine Past Accepting new patients
Northwest Hospital Emergency Medicine Past Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

8301 161st Ave NE
Ste 105
Redmond, WA 98052
Phone (425) 883-3333

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

17000 140th Ave NE
Unit 101
Woodinville, WA 98072
Phone (425) 481-6363

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1295792109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34036",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241036",
            "telephone_number": "425-899-3292",
            "fax_number": "425-899-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE",
            "address_2": "SUITE 101",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726942",
            "telephone_number": "425-488-2273",
            "fax_number": "425-488-4971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12800 Bothell Everett Hwy",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086642",
            "country_code": "US",
            "telephone_number": "425-316-5150",
            "fax_number": "425-259-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DY",
        "first_name": "GRACE",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00037246",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "MD00037246",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8241432",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "228589",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdy774191@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12800 Bothell Everett Hwy",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982086642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.