Individual provider Active NPI

Emily D Bertani, MD

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1396945713
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60408201 Issued in WA
Practice address
3705 S Meridian Ste B
Puyallup, WA 98373-3709
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jul 24, 2007
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD152933 OR
Family Medicine Physician 207Q00000X DR.0064776 CO
Family Medicine Physician 207Q00000X MD60408201 WA Primary

Addresses

Primary practice location

3705 S Meridian Ste B
Puyallup, WA 98373-3709

Mailing address

3705 S Meridian Ste B
Puyallup, WA 98373-3709

Other practice location 1

5555 E Arapahoe Rd
Centennial, CO 80122-2312
Phone (303) 338-4545

Other identifiers 2

IdentifierTypeStateIssuer
029136OtherCOKAISER COMMERCIAL NUMBER
500634948MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110903000013 OR Practitioner - Family Practice 7214107085 Reassigns benefits to 1 organization
I20140306002218 WA Practitioner - Family Practice 7214107085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3705 S Meridian
Suite B
Puyallup, WA 98373-3709
Phone (253) 765-5050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60408201WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Washington Physicians, P.C. Current Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Apr 22, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince May 18, 2019 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Apr 22, 2024 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Apr 22, 2024 Accepting new patients
Iora Senior Health, LLC CurrentSince Apr 22, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 10, 2013 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Dec 10, 2013 Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1396945713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 S MERIDIAN STE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 S MERIDIAN STE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733709",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 E Arapahoe Rd",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801222312",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTANI",
        "first_name": "EMILY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD152933",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0064776",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60408201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "029136",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500634948",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "CAREQUALITY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5555 E Arapahoe Rd",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801222312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.