Individual provider Active NPI

Natalie Elizabeth Kudlak, D.O.

  • Dermatology Physician
  • Kirkland, WA
National Provider Identifier
1437512712
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OP61265887 Issued in WA
Practice address
12911 120TH Ave NE Ste G100
Kirkland, WA 98034-3027
Phone
(425) 899-4144
Fax
(425) 880-5823
NPI assigned
Apr 3, 2016
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OP61265887 WA Primary

Addresses

Primary practice location

12911 120TH Ave NE Ste G100
Kirkland, WA 98034-3027

Mailing address

12911 120TH Ave NE Ste G100
Kirkland, WA 98034-3027
Phone (425) 899-4144

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
I20220914001893 WA Practitioner - Dermatology 1759671456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strother Dermatology and Laser Treatment Center PLLCGroup PAC ID 1052660875, 8 clinicians

Practice addresses (Care Compare)

12911 120TH Ave NE
Suite G100
Kirkland, WA 98034-3027
Phone (425) 899-4144

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions374
Removal or shaving of skin growth62
Skin biopsy51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP61265887WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strother Dermatology and Laser Treatment Center PLLC Dermatology CurrentSince Apr 1, 2024 Accepting new patients
Sam Naficy, MD, PS, Inc PastSince Apr 1, 2024 Accepting new patients
Oregon Medical Group, PC PastSince Sep 20, 2020 Accepting new patients
Willamette Community Medical Group LLC PastSince Sep 20, 2020 Accepting new patients

Locations

12911 120th Ave NE
Ste G100
Kirkland, WA 98034
Phone (425) 899-4144

17000 140th Ave NE
Unit 301
Woodinville, WA 98072
Phone (425) 483-1986

Interoperability endpoints

  • Direct secure messaging: nkudlak@yourcarecommunity.org

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.

Hospital & facility affiliations 1

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1437512712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE G100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-899-4144",
            "fax_number": "425-880-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE G100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-899-4144",
            "fax_number": "425-880-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDLAK",
        "first_name": "NATALIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "OP61265887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.