Individual provider Active NPI

Louise Berkowicz, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1295828515
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00040194 Issued in WA
Practice address
5600 14TH Ave NW Ste 1
Seattle, WA 98107-3723
Phone
(206) 919-0175
Fax
(206) 567-9797
NPI assigned
Sep 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00040194 WA Primary

Addresses

Primary practice location

5600 14TH Ave NW Ste 1
Seattle, WA 98107-3723

Mailing address

7636 SE 72ND St
Mercer Island, WA 98040-5319
Phone (206) 459-2126

Other identifiers 3

IdentifierTypeStateIssuer
3684BEOtherWAREGENCE RIDER NUMBER
0154940OtherWALABOR & INDUSTRY NUMBER
8285272MedicaidWA

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
I20050621001317 WA Practitioner - Family Practice 0446295331 Practice locations: Seattle, WA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00040194WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Naturopathy, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Louise Berkowicz PastSince Jan 1, 1990 Accepting new patients

Locations

5600 14th Ave NW
#1
Seattle, WA 98107
Phone (206) 919-0175

Organizations & group practices 2

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1295828515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7636 SE 72ND ST",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405319",
            "telephone_number": "206-459-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 14TH AVE NW STE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073723",
            "telephone_number": "206-919-0175",
            "fax_number": "206-567-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOWICZ",
        "first_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00040194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER NUMBER",
            "identifier": "3684BE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY NUMBER",
            "identifier": "0154940",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8285272",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.