Individual provider Active NPI

Patrick William Wright, DO

  • Body Imaging Physician
  • Lynnwood, WA
National Provider Identifier
1457692196
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
OP60938223 Issued in WA
Practice address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Mar 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OP60938223 WA
Body Imaging Physician 2085B0100X OP60938223 WA Primary

Addresses

Primary practice location

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers 1

IdentifierTypeStateIssuer
2135293MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190718003259 WA Practitioner - Diagnostic Radiology 5496040545 Reassigns benefits to 3 organizations
I20210126001583 MD Practitioner - Diagnostic Radiology 5496040545 Reassigns benefits to 1 organization
I20210126001973 DC Practitioner - Diagnostic Radiology 5496040545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 20LL
Bethesda, MD 20817-1106
Phone (888) 601-0943

67 Thomas Johnson Dr
Suite 4
Frederick, MD 21702-4862
Phone (888) 601-0943

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60938223WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

10215 Fernwood Rd
Ste 20LL
Bethesda, MD 20817

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

67 Thomas Johnson Dr
Ste 4
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

504 E Ridgeville Blvd
Ste 130
Mount Airy, MD 21771

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

8301 161st Ave NE
Ste 104
Redmond, WA 98052
Phone (425) 895-4810

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

Interoperability endpoints

  • Direct secure messaging: patrickwright@jph.medalliesdirect.net

Organizations & group practices 7

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1457692196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP60938223",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WA",
            "license": "OP60938223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135293",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.