Individual provider Active NPI

Richard Alan Houdek Jimenez, MD

  • Rheumatology Physician
  • Bothell, WA
National Provider Identifier
1366484040
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD00016027 Issued in WA
Practice address
19119 N Creek Pkwy Ste 102
Bothell, WA 98011-8023
Phone
(425) 923-7945
Fax
(425) 248-2627
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD00016027 WA Primary

Addresses

Primary practice location

19119 N Creek Pkwy Ste 102
Bothell, WA 98011-8023

Mailing address

19119 N Creek Pkwy Ste 102
Bothell, WA 98011-8023
Phone (425) 923-7945

Other identifiers 1

IdentifierTypeStateIssuer
1010487MedicaidWA

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
I20060314000208 WA Practitioner - Rheumatology 9436043940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Toledo College of Medicine, 1974
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1728 W Marine View Dr
Suite 110
Everett, WA 98201-2094

Hospital & facility affiliations

  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince May 8, 2017 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince May 8, 2017 Accepting new patients
North Lake Rheumatology, PLLC Rheumatology CurrentSince Jun 29, 2026 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Edmonds Rheumatology Associates Incorporated Rheumatology PastSince Jul 1, 1991 Accepting new patients
Western Washington Medical Group, Inc PS Rheumatology Past Accepting new patients

Locations

1909 214th St SE
Ste 211
Bothell, WA 98021
Phone (425) 248-2626

19119 North Creek Pkwy
Ste 102
Bothell, WA 98011
Phone (425) 923-7945

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

Interoperability endpoints

  • Direct secure messaging: rjimenez727187@direct.multicare.org

Organizations & group practices 6

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1366484040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19119 N CREEK PKWY STE 102",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118023",
            "telephone_number": "425-923-7945",
            "fax_number": "425-248-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19119 N CREEK PKWY STE 102",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118023",
            "telephone_number": "425-923-7945",
            "fax_number": "425-248-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "RICHARD",
        "middle_name": "ALAN HOUDEK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD00016027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010487",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.