Individual provider Active NPI

Kimberly Anne Fitzgerald, MD

  • Anesthesiology Physician
  • Seattle, WA
National Provider Identifier
1336218502
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00035376 Issued in WA
Practice address
900 Terry Ave
4TH Floor
Seattle, WA 98104-4230
Phone
(425) 353-3788
Fax
(425) 353-8041
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00035376 WA Primary

Addresses

Primary practice location

900 Terry Ave
4TH Floor
Seattle, WA 98104-4230

Mailing address

PO Box 84554
Seattle, WA 98124-5854
Phone (425) 353-3788

Other identifiers 2

IdentifierTypeStateIssuer
0118992OtherWAL & I
8219842MedicaidWA

Other names 1

  • Kimberly Anne Foo 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
I20080121000026 WA Practitioner - Anesthesiology 6406937119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Creighton University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1229 Madison St
Suite 1440
Seattle, WA 98104-3538
Phone (206) 625-0578

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
80.9
Improvement activities
40
Cost
75.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00035376WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc, PS CurrentSince Jan 1, 2018 Accepting new patients
Physicians Anesthesia Service PLLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients

Locations

600 Broadway
Ste 270
Seattle, WA 98122
Phone (206) 381-0269

1229 Madison St
Ste 1440
Seattle, WA 98104
Phone (206) 625-0578

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1336218502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84554",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245854",
            "telephone_number": "425-353-3788",
            "fax_number": "425-353-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TERRY AVE",
            "address_2": "4TH FLOOR",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044230",
            "telephone_number": "425-353-3788",
            "fax_number": "425-353-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00035376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0118992",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8219842",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FOO",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.