Individual provider Active NPI

Andrea Marie Winter, MD

  • Diagnostic Radiology Physician
  • Kirkland, WA
National Provider Identifier
1407237142
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61030073 Issued in WA
Practice address
12040 NE 128TH St
Kirkland, WA 98034-3013
Phone
(425) 899-1800
Fax
(425) 899-1804
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD61030073 WA Primary

Addresses

Primary practice location

12040 NE 128TH St
Kirkland, WA 98034-3013

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers 9

IdentifierTypeStateIssuer
0439882OtherWAL & I - VANCOUVER RADIOLOGISTS
0439868OtherWAL & I - RADIA
0439865OtherWAL & I - RADIA
0439876OtherWAL & I - SOUTH SOUND RADIOLOGY
2154897MedicaidWA
0439874OtherWAL & I - EVERGREEN RADIA
0439880OtherWAL & I - SEATTLE RADIOLOGY
0439870OtherWAL & I - SWEDISH RADIA
1407237142MedicaidWA

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
I20200515000584 WA Practitioner - Diagnostic Radiology 5395033401 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800

18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2030

Hospital & facility affiliations

  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 23, 2021 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 23, 2021 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 23, 2021 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 23, 2021 Accepting new patients
Swedish Health Services CurrentSince Oct 6, 2021 Accepting new patients
Swedish Health Services CurrentSince Oct 6, 2021 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 23, 2021 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 23, 2021 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

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

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

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 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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1407237142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 NE 128TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343013",
            "telephone_number": "425-899-1800",
            "fax_number": "425-899-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61030073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - VANCOUVER RADIOLOGISTS",
            "identifier": "0439882",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - RADIA",
            "identifier": "0439868",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - RADIA",
            "identifier": "0439865",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - SOUTH SOUND RADIOLOGY",
            "identifier": "0439876",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154897",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - EVERGREEN RADIA",
            "identifier": "0439874",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - SEATTLE RADIOLOGY",
            "identifier": "0439880",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I - SWEDISH RADIA",
            "identifier": "0439870",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407237142",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.