Randall A Bly

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

MD60671186 Issued in WA

Practice address

1959 NE Pacific St
Box 356161, NE-306
Seattle, WA 98195-0001

Phone

(206) 598-4022

NPI assigned

Mar 23, 2009

Last updated

Sep 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

OtolaryngologyAlso: Pediatric Medicine

Education

Loyola University of Chicago, Stritch School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Association of Chrmc and University PhysiciansGroup PAC ID 9133032964, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Seattle Children's Hospital Hospital, Seattle, WA, CCN 503300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbly36095@direct.seattlechildrens.org

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.

• The Association of Chrmc and University Physicians

  dba Children's University Medical Group

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1255449963
  Medicare reassignment Care Compare group NPD
• The Association of University Physicians

  dba University of Washington Physicians

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1023041159
  Medicare reassignment NPD
• Association of CHMC and University Physicians

  • Pediatrics Physician
  • Richland, WA
  • NPI 1851680664
  NPD
• Seattle Children's Hospital

  • Children's Hospital
  • Seattle, WA
  • NPI 1467536276
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Seattle Children's Hospital

  • Specialist
  • Seattle, WA
  • NPI 1003319500

  Hospital

  Care Compare affiliation
• Seattle Children's Hospital

  • Rehabilitation Hospital Unit
  • Seattle, WA
  • NPI 1184708992
  Care Compare affiliation
• Seattle Children's Hospital

  • Children's Hospital
  • Seattle, WA
  • NPI 1467536276
  Care Compare affiliation
• Seattle Children's Hospital

  • Psychiatric Hospital Unit
  • Seattle, WA
  • NPI 1477622595
  Care Compare affiliation
• Seattle Children's Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Seattle, WA
  • NPI 1811041692

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1457592396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 36TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253725",
            "telephone_number": "440-241-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX 356161, NE-306",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-598-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLY",
        "first_name": "RANDALL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "WA",
            "license": "MD60671186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Gay Blumenberg, MD
• Christopher Blumenstein, MSW
• Anna Blumenthal
• Elizabeth Blumhorst
• Ronald E. Blunk, LICSW, CP
• Christine Blystone, DDS
• Katherine Bo
• Sokha Sophie Bo, RN
• Sarah Catherine Boal, LAT, ATC
• Luke C. Boardman

• Pediatric Otolaryngology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Otolaryngology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.

Verify at the official NPI Registry.