Individual provider Active NPI

Jaime Novais, MD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1396732863
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00028849 Issued in WA
Practice address
515 Minor Ave
Suite 300
Seattle, WA 98104-2120
Phone
(206) 386-9500
Fax
(206) 386-9605
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00028849 WA Primary

Addresses

Primary practice location

515 Minor Ave
Suite 300
Seattle, WA 98104-2120

Mailing address

515 Minor Ave
Suite 220
Seattle, WA 98104-2120
Phone (206) 386-9500

Other identifiers 6

IdentifierTypeStateIssuer
8140766MedicaidWA
NO5443OtherWAREGENCE
MD9814WOtherWAALASKA DSHS
5891740001OtherWADME
110081679OtherWAPALMETTO / RR MEDICARE
48909OtherWALABOR & INDUSTRY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnovais1042734@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
I20100305000493 WA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3072658772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2217 22ND Ave E
Seattle, WA 98112-2933
Phone (206) 406-7360

2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364

2600 Compass Rd
Glenview, IL 60026-8001

6322 Roosevelt Way NE
Seattle, WA 98115-6625
Phone (206) 320-8050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00028849WAMDInternal Medicine Physician
MD28849WAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Apr 4, 2016 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Apr 4, 2016 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Oct 30, 2011 Accepting new patients
Seattle LTC Consultants PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Proliance Surgeons Inc PS Past Accepting new patients
Columbia Lutheran Ministries Past Accepting new patients
Minor & James Medical PLLC Past Accepting new patients
Seattle Operations, LLC Past Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

3236 78th Ave SE
Ste 200
Mercer Island, WA 98040
Phone (206) 275-5060

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

2717 Dexter Ave N
Seattle, WA 98109
Phone (206) 284-7012

515 Minor Ave
Ste 300
Seattle, WA 98104
Phone (206) 386-9505

4700 Phinney Ave N
Seattle, WA 98103
Phone (206) 632-7400

515 Minor Ave
Ste 220
Seattle, WA 98104
Phone (206) 622-9496

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Interoperability endpoints

  • Direct secure messaging: jnovais1042734@wm.providencedirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Queen Anne HealthcareSeattle, WA, CCN 505204 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 1996
Jan 1, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 5

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1396732863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE",
            "address_2": "SUITE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042120",
            "telephone_number": "206-386-9500",
            "fax_number": "206-576-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042120",
            "telephone_number": "206-386-9500",
            "fax_number": "206-386-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAIS",
        "first_name": "JAIME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00028849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8140766",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "NO5443",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA DSHS",
            "identifier": "MD9814W",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5891740001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO / RR MEDICARE",
            "identifier": "110081679",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "48909",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnovais1042734@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "515 Minor Ave",
            "address_2": "Suite 300",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981042120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.