Individual provider Active NPI

Arthur S Watanabe, MD

  • Pain Medicine Physician
  • Bellingham, WA
National Provider Identifier
1295804748
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD00026919 Issued in WA
Practice address
4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077
Phone
(360) 752-0518
NPI assigned
Nov 7, 2006
Last updated
Oct 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X MD00026919 WA
Diagnostic Radiology Physician 2085R0202X MD00026919 WA
Pain Medicine Physician 208VP0000X MD00026919 WA Primary

Addresses

Primary practice location

4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077

Mailing address

4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077
Phone (360) 752-0518

Other identifiers 2

IdentifierTypeStateIssuer
8125817MedicaidWA
197322OtherWALABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040322001111 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain Management 5395632681 Reassigns benefits to 4 organizations
I20230501000530 CA Practitioner - Diagnostic Radiology 5395632681 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Halo Medical GroupGroup PAC ID 7012806052, 20 clinicians

Practice addresses (Care Compare)

321 S Shoreline Dr
Liberty Lake, WA 99019-8708
Phone (585) 218-8006

3450 Hillcrest Ave
Antioch, CA 94531-8238
Phone (925) 757-2100

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.56
Promoting interoperability
93
Improvement activities
40
Cost
69.49

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Clearlake Hospital Inc. CurrentSince Aug 23, 2023 Accepting new patients
Ukiah Adventist Hospital Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Inview Imaging Diagnostics Inc a Professional Medical Corporation Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Willits Hospital Inc. CurrentSince Apr 1, 2023 Accepting new patients
Halo Medical Group Diagnostic Radiology CurrentSince Jan 24, 2025 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Dec 8, 2024 Accepting new patients
Modesto Radiology Imaging, Inc. Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Ukiah Adventist Hospital CurrentSince Apr 1, 2023 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 8, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 8, 2024 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Empire Health Services Past Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology Past Accepting new patients
Multicare Health System Past Accepting new patients
Sound Medical Imaging PLLC Diagnostic Radiology Past Accepting new patients
Spokane Radiology Consultants, PS Past Accepting new patients

Locations

3450 Hillcrest Ave
Antioch, CA 94531
Phone (925) 757-2100

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

39465 Paseo Padre Pkwy
Ste 1000
Fremont, CA 94538
Phone (310) 222-5015

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1295804748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077",
            "telephone_number": "360-752-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077",
            "telephone_number": "360-752-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATANABE",
        "first_name": "ARTHUR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "MD00026919",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00026919",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WA",
            "license": "MD00026919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8125817",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "197322",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.