Individual provider Active NPI

Eric Bautista, M.D.

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1437576972
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61233955 Issued in WA
Practice address
1620 Broadway Ste 100a
Seattle, WA 98122-2560
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Mar 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61233955 WA Primary

Addresses

Primary practice location

1620 Broadway Ste 100a
Seattle, WA 98122-2560

Mailing address

306 23Rd Ave S Ste 200
Seattle, WA 98144-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170214000764 CA Practitioner - Internal MedicinePractitioner - Other (Physician) 5496040198 Reassigns benefits to 1 organization
I20241007003008 WA Practitioner - Internal Medicine 5496040198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Health Washington Physicians PCGroup PAC ID 1355614421, 36 clinicians

Practice addresses (Care Compare)

64 Rainier Ave S
Suite I
Renton, WA 98057-2047
Phone (425) 224-2144

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61233955WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC Internal Medicine CurrentSince Aug 12, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 9, 2017 Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Aug 12, 2024 Accepting new patients
Iora Health Washington Physicians, P.C. Internal Medicine CurrentSince Aug 12, 2024 Accepting new patients
Iora Health Washington Physicians, P.C. Internal Medicine CurrentSince Aug 12, 2024 Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
Iora Health Washington Physicians, P.C. Internal Medicine Current Accepting new patients
Iora Senior Health, LLC Internal Medicine Current Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Jan 9, 2017 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2425 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

2238 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

306 23rd Ave S
Ste 200
Seattle, WA 98144
Phone (206) 518-9033

1620 Broadway
Ste 100A
Seattle, WA 98122
Phone (206) 267-4390

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

5006 Center St
Ste R
Tacoma, WA 98409
Phone (253) 275-0200

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": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1437576972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 23RD AVE S STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BROADWAY STE 100A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222560",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-22",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "61233955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.