Individual provider Active NPI

Sana Isa Pratt, M.D.

  • Internal Medicine Physician
  • Kirkland, WA
National Provider Identifier
1396892436
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00037248 Issued in WA
Practice address
10413 NE 37TH Cir BLDG 3
Suite B
Kirkland, WA 98033-7924
Phone
(425) 803-0136
Fax
(425) 803-9864
NPI assigned
Jan 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD00037248 WA Primary

Addresses

Primary practice location

10413 NE 37TH Cir BLDG 3
Suite B
Kirkland, WA 98033-7924

Mailing address

10413 NE 37TH Cir BLDG 3
Suite B
Kirkland, WA 98033-7924
Phone (425) 803-0136

Other identifiers 2

IdentifierTypeStateIssuer
1041ISOtherWAREGENCE
204620OtherWALABOR & INDUSTRIES

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
I20051229000073 WA Practitioner - Internal Medicine 6901707173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00037248WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sana Isa Pratt MD PLLC Internal Medicine CurrentSince Dec 28, 2005 Accepting new patients
Overlake Internal Medicine Associates Inc PS Internal Medicine Past Accepting new patients
Overlake Internal Medicine Associates Inc., PS Past Accepting new patients

Locations

10413 NE 37th Cir
Bldg 3
Kirkland, WA 98033
Phone (425) 285-2112

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396892436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 NE 37TH CIR BLDG 3",
            "address_2": "SUITE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337924",
            "telephone_number": "425-803-0136",
            "fax_number": "425-803-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 NE 37TH CIR BLDG 3",
            "address_2": "SUITE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337924",
            "telephone_number": "425-803-0136",
            "fax_number": "425-803-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISA PRATT",
        "first_name": "SANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00037248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1041IS",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "204620",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.