Active NPI
Eric Kai Hansen, MD
- Internal Medicine Physician
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00031065
- Practice address
- 12910 Totem Lake Blvd NE
Suite 101
Kirkland, WA 98034-2954 - Phone
- (425) 814-5000
- NPI assigned
- Oct 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00031065 | WA | Primary |
Addresses
Primary practice location
12910 Totem Lake Blvd NE
Suite 101
Kirkland, WA 98034-2954
Mailing address
12910 Totem Lake Blvd NE
Suite 101
Kirkland, WA 98034-2954
Phone (425) 814-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8160459 | Medicaid | WA |
Other names 1
- E. Kai Hansen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehansen975345@wm.providencedirect.org | Direct |
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
- Internal Medicine
- Education
- Hahnemann University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12910 Totem Lake Blvd NE
Suite 101
Kirkland, WA 98034-2901
Phone (425) 814-5000
Hospital & facility affiliations
- Evergreenhealth Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Internal Medicine | Current | Accepting new patients |
| Pacmed Clinics | Current | Accepting new patients |
Locations
12910 Totem Lake Blvd NE
Ste 101
Kirkland, WA 98034
Phone (425) 814-5000
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
Interoperability endpoints
- ehansen975345@wm.providencedirect.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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1447249206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12910 TOTEM LAKE BLVD NE",
"address_2": "SUITE 101",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342954",
"telephone_number": "425-814-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12910 TOTEM LAKE BLVD NE",
"address_2": "SUITE 101",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342954",
"telephone_number": "425-814-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ERIC",
"middle_name": "KAI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00031065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8160459",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehansen975345@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12910 Totem Lake Blvd NE",
"address_2": "Suite 101",
"city": "Kirkland",
"state": "WA",
"country_code": "US",
"postal_code": "980342954",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "E.",
"last_name": "HANSEN",
"middle_name": "KAI",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 May 21, 2021; 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.