Active NPI
Jonathan Adam Drezner
- Sports Medicine (Family Medicine) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- MD00036878
- Practice address
- Uwmc-Roosevelt
4245 Roosevelt Way NE
Seattle, WA 98105-4770 - Phone
- (206) 598-4055
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD00036878 | WA | Primary |
| Family Medicine Physician | 207Q00000X | MD00036878 | WA |
Addresses
Primary practice location
Uwmc-Roosevelt
4245 Roosevelt Way NE
Seattle, WA 98105-4770
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 543-6420
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000323 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
| 080161897 | Other | WA | RAIL ROAD MEDICARE |
| 8247389 | Medicaid | WA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of California, Geffen School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
Hospital & facility affiliations
- University of Washington Medical Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00036878 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Family Medicine | Current | Accepting new patients |
| Harborview Medical Center | Current | Accepting new patients | |
| Harborview Medical Center | Current | Accepting new patients | |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
4245 Roosevelt Way NE
Seattle, WA 98105
Phone (206) 598-4055
3800 Montlake Blvd
Seattle, WA 98195
Phone (206) 598-1534
2818 NE 145th St
Shoreline, WA 98155
Phone (206) 354-8810
Interoperability endpoints
- jdrezner62552@direct.ehre.uwmedicine.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Family Medicine
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1568557312
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1346326121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-543-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UWMC-ROOSEVELT",
"address_2": "4245 ROOSEVELT WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054770",
"telephone_number": "206-598-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREZNER",
"first_name": "JONATHAN",
"middle_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "WA",
"license": "MD00036878",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00036878",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL ID-MOTOR VEHICLE ID",
"identifier": "2000323",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "080161897",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8247389",
"state": "WA"
}
],
"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 Mar 22, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.