Individual provider Active NPI

David Keith Naibert Jr., M.D.

  • Pain Medicine Physician
  • Kirkland, WA
National Provider Identifier
1437169356
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD00026754 Issued in WA
Practice address
13122 120TH Ave NE
Kirkland, WA 98034-3014
Phone
(425) 678-8534
Fax
(425) 678-8564
NPI assigned
Aug 9, 2006
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X MD00026754 WA Primary

Addresses

Primary practice location

13122 120TH Ave NE
Kirkland, WA 98034-3014

Mailing address

12100 Northup Way
Ste 110
Bellevue, WA 98005
Phone (425) 948-1899

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
I20070216000622 WA Practitioner - Pain ManagementPractitioner - General PracticePractitioner - Interventional Pain Management 7416059761 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Care PS CurrentSince Mar 21, 2018 Accepting new patients
Lake Washington Private Medicine Inc Pain Medicine CurrentSince Oct 1, 2006 Accepting new patients
Altius Diagnostics Laboratory LLC Past Accepting new patients
Sports and Spine Past Accepting new patients

Locations

600 Jefferson St
Ste 404
Lafayette, LA 70501

21701 76th Ave W
Ste 203
Edmonds, WA 98026
Phone (425) 744-2300

13122 120th Ave NE
Kirkland, WA 98034
Phone (425) 678-8534

205 Lilly Rd NE
Ste A
Olympia, WA 98506
Phone (360) 218-5990

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHIEBD

Organizations & group practices 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1437169356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 NORTHUP WAY",
            "address_2": "STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-948-1899",
            "fax_number": "425-642-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13122 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343014",
            "telephone_number": "425-678-8534",
            "fax_number": "425-678-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIBERT",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WA",
            "license": "MD00026754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.