Individual provider Active NPI

Richard Alan Fogerty, M.D.

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1346223815
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00016255 Issued in WA
Practice address
1801 NW Market St
Suite 309
Seattle, WA 98107-3987
Phone
(206) 784-0940
Fax
(206) 783-2520
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00016255 WA Primary

Addresses

Primary practice location

1801 NW Market St
Suite 309
Seattle, WA 98107-3987

Mailing address

1801 NW Market St
Suite 309
Seattle, WA 98107-3987
Phone (206) 784-0940

Other identifiers 1

IdentifierTypeStateIssuer
1289800MedicaidWA

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
I20091230000071 WA Practitioner - Internal Medicine 4789724568 Practice locations: Seattle, WA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00016255WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David T. Aoyama MD Inc. PS Internal Medicine Past Accepting new patients

Organizations & group practices 1

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346223815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW MARKET ST",
            "address_2": "SUITE 309",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073987",
            "telephone_number": "206-784-0940",
            "fax_number": "206-783-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW MARKET ST",
            "address_2": "SUITE 309",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073987",
            "telephone_number": "206-784-0940",
            "fax_number": "206-783-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGERTY",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00016255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1289800",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.