Active NPI
Ghayda Mirzaa, M.D.
- Clinical Genetics (M.D.) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 60286450
- Practice address
- 4800 Sand Point Way NE # Oc.9850
Seattle, WA 98105-3901 - Phone
- (206) 987-2056
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 60286450 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 036121470 | IL |
Addresses
Primary practice location
4800 Sand Point Way NE # Oc.9850
Seattle, WA 98105-3901
Mailing address
1900 9TH Ave
Mailstop C9S-10
Seattle, WA 98101-1309
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60286450 | WA | MD | Clinical Genetics (M.D.) Physician |
| 036121470 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Clinical Genetics (M.D.) | Current | Accepting new patients |
| Association of CHMC and University Physicians | Current | Accepting new patients |
Locations
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
4800 Sand Point Way NE
#9850
Seattle, WA 98105
Phone (206) 987-1389
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Interoperability endpoints
- gmirzaa14000@direct.seattlechildrens.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
Clinical Genetics (M.D.)
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1316196124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 9TH AVE",
"address_2": "MAILSTOP C9S-10",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE # OC.9850",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRZAA",
"first_name": "GHAYDA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "WA",
"license": "60286450",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "036121470",
"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 May 29, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.