Individual provider Active NPI

Irine L Vaiman, M.D.

  • Family Medicine Physician
  • Redmond, WA
National Provider Identifier
1366417982
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00034126 Issued in WA
Practice address
2007 152ND Ave NE
Redmond, WA 98052-5521
Phone
(425) 440-7777
Fax
(425) 440-7771
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 MD00034126 WA Primary

Addresses

Primary practice location

2007 152ND Ave NE
Redmond, WA 98052-5521

Mailing address

1940 116TH Ave NE
Suite 200
Bellevue, WA 98004-3097
Phone (425) 453-6838

Other identifiers 1

IdentifierTypeStateIssuer
8203457MedicaidWA

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
I20100730000325 WA Practitioner - Family Practice 6406743657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vital Pro Health PLLCGroup PAC ID 8022543628, 2 clinicians

Practice addresses (Care Compare)

2007 152 Ave NE
Redmond, WA 98052-5521
Phone (425) 453-6838

Hospital & facility affiliations

  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Medicine, PLLC Family Medicine CurrentSince Mar 1, 1998 Accepting new patients
Vital Pro Health PLLC Family Medicine CurrentSince Dec 10, 2024 Accepting new patients

Locations

1940 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (206) 486-2926

2007 152nd Ave NE
Redmond, WA 98052
Phone (425) 440-7760

Interoperability endpoints

  • Direct secure messaging: irine.vaiman.1@32534.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1366417982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 116TH AVE NE",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043097",
            "telephone_number": "425-453-6838",
            "fax_number": "425-456-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525521",
            "telephone_number": "425-440-7777",
            "fax_number": "425-440-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIMAN",
        "first_name": "IRINE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00034126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8203457",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.