Individual provider Active NPI

Mary Goodwin Altobelli, MD

  • Pediatrics Physician
  • Kirkland, WA
National Provider Identifier
1447553946
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.61001967 Issued in WA
Practice address
13030 121St Way NE
Suite #100
Kirkland, WA 98034
Phone
(425) 814-5170
Fax
(425) 823-5826
NPI assigned
Dec 6, 2010
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.61001967 WA Primary

Addresses

Primary practice location

13030 121St Way NE
Suite #100
Kirkland, WA 98034

Mailing address

13030 121St Way NE Ste 100
Kirkland, WA 98034-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170721002580 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8224211248

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics Past Accepting new patients

Locations

13030 121st Way NE
Ste 100
Kirkland, WA 98034
Phone (206) 899-4500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1447553946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 121ST WAY NE STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 121ST WAY NE",
            "address_2": "SUITE #100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-814-5170",
            "fax_number": "425-823-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTOBELLI",
        "first_name": "MARY",
        "middle_name": "GOODWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD.61001967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.