Thomas S Dawson, DO
Individual provider Active NPI Family Medicine Physician · Kenmore, WA
NPI 1366450744 · NPPES record last updated Oct 17, 2019
Key facts
- NPI
- 1366450744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OP00000911 (WA)
- Practice address
- 18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835 - Phone
- (425) 485-6561
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- King County Public Hospital District No 2
Select Outpatient Services Inc
Select Rehabilitation, LLC
Practice addresses (Care Compare)
1909 214TH St SE
Suite 110
Bothell, WA 98021-4412
Phone (425) 488-4988
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
- Evergreenhealth Home Care Services
- Evergreenhealth Medical Center
- Evergreenhealth Monroe
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 16 |
| Removal or shaving of skin growth | 1-10 |
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 |
|---|---|---|---|---|
| I20041102000733 | WA | Practitioner - Family Practice |
5193787034 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current |
Accepting new patients | |
| King County Public Hospital District No. 2 | Family Medicine | Current | Accepting new patients |
| King County Public Hospital District No 2 | Family Medicine | Current |
Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Puget Sound Family Physicians | Family Medicine | Past | Accepting new patients |
Locations
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889
18151 68th Ave NE
Ste 100
Kenmore, WA 98028
Phone (425) 485-6561
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00000911 | WA | Yes |
Addresses
Primary practice location
18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835
Mailing address
18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835
Phone (425) 485-6561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192464 | Other | WA | LABOR & INDUSTRIES |
| 2883DA | Other | WA | REGENCE BLUE SHIELD |
Other providers in Kenmore, WA
- David James Cudworth
- Travis Jo Gerhart Cufley
- Rebecca Florence Cummings
- Milton Leo Curtis
- Gina Damilano
- M. O'Donnell Day
- Rafaela Lowe Deleon
- Dental Assistant Training Center
- Abigail Elizabeth Desjardien
- Anisha Devnani
All providers in Kenmore, WA · Family 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 Oct 17, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.