Individual provider Active NPI

John Robert Stevens

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1316239015
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ML60224195 Issued in WA
Practice address
1401 Madison St
Suite 100
Seattle, WA 98104-1316
Phone
(206) 386-6054
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML60224195 WA Primary

Addresses

Primary practice location

1401 Madison St
Suite 100
Seattle, WA 98104-1316

Mailing address

1401 Madison
Suite 100
Seattle, WA 98104

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstevens1043336@wm.providencedirect.org

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
I20141028002104 WA Practitioner - Family Practice 6305067760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
King County FinanceGroup PAC ID 8022913789, 31 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1801 NW Market St
Suite 403
Seattle, WA 98107-3901
Phone (206) 297-5100

2124 4TH Ave
Seattle, WA 98121-2308
Phone (206) 477-8300

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML60224195WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Oct 27, 2014 Accepting new patients
Neighborcare Health CurrentSince Aug 11, 2014 Accepting new patients
Neighborcare Health CurrentSince Aug 11, 2014 Accepting new patients
King County Finance CurrentSince Oct 2, 2015 Accepting new patients
King County Finance CurrentSince Oct 2, 2015 Accepting new patients
Neighborcare Health Current Accepting new patients
Seattle King Co Dept of Public Health Past Accepting new patients
Swedish Health Services Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

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

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

800 5th Ave
Ste 600
Seattle, WA 98104

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

1801 NW Market St
Ste 403
Seattle, WA 98107
Phone (206) 297-5100

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

1401 Madison St
Ste 100
Seattle, WA 98104
Phone (206) 386-6111

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1316239015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MADISON",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MADISON ST",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041316",
            "telephone_number": "206-386-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML60224195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstevens1043336@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1801 NW Market St Ste 403",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981073901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.