Individual provider Active NPI

Matthew James Logalbo, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1295950962
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 60002369 Issued in WA
Practice address
500 19TH Ave E
Seattle, WA 98112-4007
Phone
(206) 299-1600
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML20008584 WA
Family Medicine Physician 207Q00000X MD 60002369 WA Primary

Addresses

Primary practice location

500 19TH Ave E
Seattle, WA 98112-4007

Mailing address

500 19TH Ave E
Seattle, WA 98112-4007

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
I20091118000032 WA Practitioner - Family Practice 7012055783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Roots Community HealthGroup PAC ID 8628966173, shared by 4 NPIs, 50 clinicians
International Community Health ServicesGroup PAC ID 5799695672, 95 clinicians

Practice addresses (Care Compare)

2101 E Yesler Way
Suite 150
Seattle, WA 98122-5959
Phone (206) 299-1900

500 19TH Ave E
Seattle, WA 98112-4007
Phone (208) 299-1600

720 8TH Ave S
Suite 100
Seattle, WA 98104-3033
Phone (206) 788-3700

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 60002369WAMDFamily Medicine Physician
ML20008584WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Community Health Services Family Medicine CurrentSince Feb 10, 2025 Accepting new patients
Swedish Health Services CurrentSince Dec 1, 2009 Accepting new patients
Seattle Roots Community Health Family Medicine CurrentSince Mar 5, 2014 Accepting new patients
International Community Health Services CurrentSince Feb 10, 2025 Accepting new patients
Seattle Roots Community Health Current Accepting new patients
Seattle Roots Community Health Family Medicine CurrentSince Mar 5, 2014 Accepting new patients
Seattle Roots Community Health Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3770

301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190

2410 E Cherry St
Seattle, WA 98122
Phone (206) 299-1900

2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900

2101 E Yesler Way
#210
Seattle, WA 98122
Phone (206) 299-1937

3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500

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

2101 E Yesler Way
Ste 100
Seattle, WA 98122
Phone (206) 987-7200

500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600

Interoperability endpoints

  • Direct secure messaging: mlogalbo272541@direct.ochin.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1295950962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 19TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 19TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124007",
            "telephone_number": "206-299-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGALBO",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML20008584",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD 60002369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.