Jonathan Abe, MD
Individual provider Active NPI Internal Medicine Physician · Seattle, WA
NPI 1346090875 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1346090875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MDRE.ML.61546685 (WA)
- Practice address
- 925 Seneca St
Seattle, WA 98101-2742 - Phone
- (206) 624-1144
- NPI assigned
- Mar 26, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604004513 | WA | Order and Referring Only - Internal Medicine |
3870035991 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDRE.ML.61546685 | WA | MD | Internal Medicine Physician |
Interoperability endpoints
- jabe709232@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MDRE.ML.61546685 | WA | Yes |
Addresses
Primary practice location
925 Seneca St
Seattle, WA 98101-2742
Mailing address
PO Box 2446
Honolulu, HI 96804-2446
Other providers in Seattle, WA
- Maryan N Abdulle
- Isra Abdulwadood
- Manal Mohammad Abdur Rahman
- Suha Amir Abduselam
- Hikaru Abe
- Norman David Abe
- Ryan Michaela Crenshaw Abe
- Kebron Abebe
- Elizabeth Anne Abebefe
- Abec LLC
All providers in Seattle, WA · Internal Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.