Active NPI
Hamilton S Gillespie, MD
- Clinical Cardiac Electrophysiology Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD00048050
- Practice address
- 4011 Talbot Rd S Ste 500
Renton, WA 98055-5782 - Phone
- (425) 690-3482
- Fax
- (425) 690-9082
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD00048050 | WA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD178643 | OR | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD00048050 | WA | Primary |
Addresses
Primary practice location
4011 Talbot Rd S Ste 500
Renton, WA 98055-5782
Mailing address
4011 Talbot Rd S Ste 500
Renton, WA 98055-5782
Phone (425) 690-3482
Other practice location 1
501 N Graham St Ste 200
Portland, OR 97227-2000
Phone (503) 413-7162
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010474 | Medicaid | WA | |
| 500717739 | Medicaid | OR |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4011 Talbot Rd S
Suite 500
Renton, WA 98055-5782
Phone (425) 690-3488
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD178643 | OR | MD | Clinical Cardiac Electrophysiology Physician |
| MD00048050 | WA | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Current | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
3600 Lind Ave SW
Ste 100
Renton, WA 98057
4011 Talbot Rd S
Ste 500
Renton, WA 98055
Phone (425) 251-5110
Interoperability endpoints
- hgillespie78920@direct.valleymed.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
dba VMC Children's Therapy
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley Medical Center
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1437269974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S STE 500",
"city": "RENTON",
"state": "WA",
"postal_code": "980555782",
"telephone_number": "425-690-3482",
"fax_number": "425-690-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S STE 500",
"city": "RENTON",
"state": "WA",
"postal_code": "980555782",
"telephone_number": "425-690-3482",
"fax_number": "425-690-9082"
}
],
"practiceLocations": [
{
"address_1": "501 N Graham St Ste 200",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972272000",
"country_code": "US",
"telephone_number": "503-413-7162",
"fax_number": "503-413-4711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLESPIE",
"first_name": "HAMILTON",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00048050",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "OR",
"license": "MD178643",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "WA",
"license": "MD00048050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010474",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500717739",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.