Individual provider Active NPI

Deepa Gali, MD

  • Rheumatology Physician
  • Lakewood, WA
National Provider Identifier
1376856922
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD60616582 Issued in WA
Practice address
11311 Bridgeport Way SW Ste 100
Lakewood, WA 98499-3096
Phone
(253) 985-6490
NPI assigned
Jul 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 MD60616582 WA Primary

Addresses

Primary practice location

11311 Bridgeport Way SW Ste 100
Lakewood, WA 98499-3096

Mailing address

11311 Bridgeport Way SW Ste 100
Lakewood, WA 98499-3096
Phone (253) 985-6490

Other practice location 1

16045 1st Ave S Fl 2
Burien, WA 98148-1401
Phone (206) 965-4100

Other practice location 2

6710 W Okanogan Pl
Kadlec Clinic Rheumatology
Kennewick, WA 99336
Phone (509) 942-2528

Other identifiers 2

IdentifierTypeStateIssuer
1376856922MedicaidWA
2058244MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dgali577563@fhsce.catholichealth.net Direct
Direct Messaging Address dgali1108928@wm.providencedirect.org Direct

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
I20160530000012 WA Practitioner - RheumatologyPractitioner - Internal Medicine 6103116462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overlake Arthritis and Osteoporosis Center PLLCGroup PAC ID 3577548197, 8 clinicians

Practice addresses (Care Compare)

2100 116TH Ave NE
Bellevue, WA 98004-3016
Phone (425) 453-0766

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124
  • 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
Overlake Arthritis and Osteoporosis Center, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Valley Medical Group-Renton CurrentSince Apr 1, 2022 Accepting new patients

Locations

1370 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 453-0766

2100 116th Ave NE
Bellevue, WA 98004
Phone (425) 453-0766

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

3600 Lind Ave SW
Ste 100
Renton, WA 98057

4033 Talbot Rd S
Ste 440
Renton, WA 98055
Phone (425) 656-5321

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEHCD
  • Direct secure messaging: dgali311631@direct.hfhs.org
  • Direct secure messaging: dgali577563@fhsce.catholichealth.net

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 3

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": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1376856922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993096",
            "telephone_number": "253-985-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993096",
            "telephone_number": "253-985-6490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16045 1st Ave S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981481401",
            "country_code": "US",
            "telephone_number": "206-965-4100",
            "fax_number": "206-965-4119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6710 W Okanogan Pl",
            "address_2": "Kadlec Clinic Rheumatology",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "99336",
            "country_code": "US",
            "telephone_number": "509-942-2528",
            "fax_number": "509-783-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALI",
        "first_name": "DEEPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD60616582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376856922",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2058244",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgali577563@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11311 Bridgeport Way SW Ste 100",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgali1108928@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6710 W Okanogan Pl",
            "address_2": "Kadlec Clinic Rheumatology",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.