Individual provider Active NPI

Richard Eduardo Repass, M.D.

  • Psychiatry Physician
  • Bothell, WA
National Provider Identifier
1316085855
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
60341333 Issued in WA
Practice address
12900 NE 180TH St Ste 100
Bothell, WA 98011-5773
Phone
(425) 652-4812
Fax
(801) 701-8387
NPI assigned
Feb 4, 2007
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 50953 MN
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 14238188-1205 UT
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 308708 NY
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 41319 KY
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 60341333 WA
Psychiatry Physician 2084P0800X 308708 NY
Psychiatry Physician 2084P0800X 50953 MN
Psychiatry Physician 2084P0800X 60341333 WA Primary
Psychiatry Physician 2084P0800X 41319 KY
Psychiatry Physician 2084P0800X 14238188-1205 UT

Addresses

Primary practice location

12900 NE 180TH St Ste 100
Bothell, WA 98011-5773

Mailing address

PO Box 1775
Mercer Island, WA 98040-1775
Phone (425) 652-4812

Other names 1

  • Dr. Richard Eduardo Repass Other name

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
I20190626000985 WA Practitioner - Psychiatry 7719058270 Practice locations: Bothell, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Bothell, WA 98011
Phone (425) 652-4812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60341333WAMDAddiction Medicine (Psychiatry & Neurology) Physician
41319KYMDPsychiatry Physician
14238188-1205UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Neurotesting PLLC Psychiatry Current Accepting new patients
Hutchinson Health Past Accepting new patients
Comprehensive Healthcare - Bridges E&T Past Accepting new patients
Comprehensive Healthcare Past Accepting new patients
Comprehensive Healthcare Past Accepting new patients

Locations

2737 78th Ave SE
Ste 100
Mercer Island, WA 98040
Phone (206) 695-2707

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1316085855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1775",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980401775",
            "telephone_number": "425-652-4812",
            "fax_number": "801-701-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115773",
            "telephone_number": "425-652-4812",
            "fax_number": "801-701-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASS",
        "first_name": "RICHARD",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MN",
            "license": "50953",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "UT",
            "license": "14238188-1205",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NY",
            "license": "308708",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "KY",
            "license": "41319",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "WA",
            "license": "60341333",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "308708",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "50953",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "60341333",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "41319",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "14238188-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "REPASS",
            "middle_name": "EDUARDO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.