Individual provider Active NPI

David Sapienza, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1306106331
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60464976 Issued in WA
Practice address
611 12TH Ave S
Seattle, WA 98144-1910
Phone
(206) 324-9360
Fax
(206) 322-1393
NPI assigned
May 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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 MD60464976 WA Primary
Family Medicine Physician 207Q00000X ML60288578 WA

Addresses

Primary practice location

611 12TH Ave S
Seattle, WA 98144-1910

Mailing address

3646B 36TH Ave S
Seattle, WA 98144-7107
Phone (617) 230-0505

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
I20150817002353 WA Practitioner - Family Practice 5496075624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King County FinanceGroup PAC ID 8022913789, 31 clinicians

Practice addresses (Care Compare)

14350 SE Eastgate Way
Bellevue, WA 98007-6458
Phone (206) 477-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60464976WAMDFamily Medicine Physician
ML60288578WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Indian Health Board Family Medicine CurrentSince Jun 5, 2017 Accepting new patients
King County Finance CurrentSince Sep 1, 2018 Accepting new patients
Seattle Indian Health Board CurrentSince Jun 5, 2017 Accepting new patients
King County Finance CurrentSince Sep 1, 2018 Accepting new patients

Locations

14350 SE Eastgate Way
Bellevue, WA 98007
Phone (206) 296-9754

401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975

611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360

2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755

Interoperability endpoints

  • Direct secure messaging: dsapienza246816@direct.ochin.org

Organizations & group practices 6

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1306106331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646B 36TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981447107",
            "telephone_number": "617-230-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 12TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981441910",
            "telephone_number": "206-324-9360",
            "fax_number": "206-322-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPIENZA",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60464976",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML60288578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.