Individual provider Active NPI

James David Macintosh Cameron III, M.D.

  • Internal Medicine Physician
  • Bellevue, WA
National Provider Identifier
1447206875
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00028360 Issued in WA
Practice address
1632 116TH Ave NE Ste C
Bellevue, WA 98004-3035
Phone
(425) 454-8191
Fax
(425) 454-3037
NPI assigned
May 26, 2006
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 MD00028360 WA Primary

Addresses

Primary practice location

1632 116TH Ave NE Ste C
Bellevue, WA 98004-3035

Mailing address

1632 116TH Ave NE Ste C
Bellevue, WA 98004-3035
Phone (425) 454-8191

Other names 1

  • James David Macintosh Cameron III Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

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
I20060608000042 WA Practitioner - Internal Medicine 9436161569 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00028360WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
The Polyclinic CurrentSince Nov 1, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 17, 2023 Accepting new patients
The Polyclinic PLLC Internal Medicine Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 17, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Mar 20, 2013 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Mar 20, 2013 Accepting new patients
The Polyclinic PLLC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Puget Sound Family Physicians Past Accepting new patients
Medical Arts Associates P.S Past Accepting new patients
Lakeshore Clinic PLLC Internal Medicine Past Accepting new patients
WCC Operator LLC Past Accepting new patients

Locations

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

7315 212th St SW
Ste 101
Edmonds, WA 98026
Phone (425) 670-3550

301 S 320th St
Federal Way, WA 98003
Phone (253) 874-7000

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

1145 Broadway
Seattle, WA 98122

1145 Broadway
Ste 200
Seattle, WA 98122

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13603/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1447206875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 116TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043035",
            "telephone_number": "425-454-8191",
            "fax_number": "425-454-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 116TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043035",
            "telephone_number": "425-454-8191",
            "fax_number": "425-454-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "JAMES DAVID",
        "middle_name": "MACINTOSH",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00028360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "301 S 320th St",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980035200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMES DAVID",
            "last_name": "CAMERON",
            "middle_name": "MACINTOSH",
            "suffix": "III",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.