Active NPI
David Keith Naibert Jr., M.D.
- Pain Medicine Physician
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- MD00026754
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Care PS | Current | Accepting new patients | |
| Lake Washington Private Medicine Inc | Pain Medicine | Current | 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
- 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.
-
dba Lake Washington Pain Management
- Pain Medicine Physician
- Kirkland, WA
- NPI 1427109271
-
- Physician Assistant
- Olympia, WA
- NPI 1114410495
-
- Clinical Medical Laboratory
- Bellevue, WA
- NPI 1407231483
-
- Clinic/Center
- Bellevue, WA
- NPI 1598255903
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.