Individual provider Active NPI

Andrew Samuel Barloon, MD

  • Ophthalmology Physician
  • Bellevue, WA
National Provider Identifier
1457350670
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00030214 Issued in WA
Practice address
1750 112TH Ave NE
Suite D050
Bellevue, WA 98004-3752
Phone
(206) 215-3850
Fax
(206) 215-3870
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00030214 WA Primary

Addresses

Primary practice location

1750 112TH Ave NE
Suite D050
Bellevue, WA 98004-3752

Mailing address

22232 17TH Ave SE Ste 308
Bothell, WA 98021-7425
Phone (425) 296-3837

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
I20071219000770 WA Practitioner - Ophthalmology 6204721103 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Pacific Northwest Retina PLLC CurrentSince Sep 1, 2021 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jan 1, 2012 Accepting new patients
The Retina Surgery Center LLC CurrentSince Sep 5, 2023 Accepting new patients
Proliance Surgeons, Inc., P.S. Ophthalmology CurrentSince Jan 1, 2012 Accepting new patients
Retina Consultants of Washington, P.S. Past Accepting new patients

Locations

1750 112th Ave NE
Ste D050
Bellevue, WA 98004
Phone (425) 296-3837

2821 Northup Way
Ste 200
Bellevue, WA 98004
Phone (425) 576-0225

3105 Old Fairhaven Pkwy
Ste C
Bellingham, WA 98225

22232 17th Ave SE
Ste 308
Bothell, WA 98021

215 E George Hopper Rd
Burlington, WA 98233

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

321 Ramsay Way
Ste 107
Kent, WA 98032

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

4915 25th Ave NE
Ste 207
Seattle, WA 98105
Phone (206) 264-7902

1221 Madison St
Ste 1002
Seattle, WA 98104
Phone (206) 343-4850

1600 E Jefferson St
Ste 101
Seattle, WA 98122
Phone (206) 320-3100

Interoperability endpoints

  • Direct secure messaging: andrew.barloon.p16@direct.proliance.nextgenshare.com
  • Direct secure messaging: andrew.barloon.p16@direct.pnwr.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1457350670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE STE 308",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217425",
            "telephone_number": "425-296-3837",
            "fax_number": "206-215-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "SUITE D050",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOON",
        "first_name": "ANDREW",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00030214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.