Active NPI
David Sapienza, M.D.
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60464976
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Finance
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD60464976 | WA | MD | Family Medicine Physician |
| ML60288578 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Indian Health Board | Family Medicine | Current | Accepting new patients |
| King County Finance | Current | Accepting new patients | |
| Seattle Indian Health Board | Current | Accepting new patients | |
| King County Finance | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1316012461
Family Medicine, WA
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1518593904
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1295383958
-
- Federally Qualified Health Center (FQHC)
- Bellevue, WA
- NPI 1922610393
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1922673367
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.