Active NPI
Richard Eduardo Repass, M.D.
- Psychiatry Physician
- Bothell, WA
National Provider Identifier
1316085855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 60341333
- 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, 2026
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 60341333 | WA | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
| 41319 | KY | MD | Psychiatry Physician |
| 14238188-1205 | UT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- Mercer Island, WA
- NPI 1790543833
-
- Mental Illness Community Based Residential Treatment Facility
- Yakima, WA
- NPI 1689812968
-
- Mental Illness Community Based Residential Treatment Facility
- Selah, WA
- NPI 1760941579
-
- Mental Illness Community Based Residential Treatment Facility
- Yakima, WA
- NPI 1083035547
-
dba Hutchinson Health Hospital
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.