NPIMap

Individual provider Active NPI

Khadij Assani, DO

  • Internal Medicine Physician
  • Bothell, WA
National Provider Identifier
1467089235
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP61441649 Issued in WA
Practice address
11913 NE 195TH St
Bothell, WA 98011-3147
Phone
(425) 489-3100
Fax
(877) 516-8649
NPI assigned
Mar 23, 2020
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP61441649 WA Primary

Addresses

Primary practice location

11913 NE 195TH St
Bothell, WA 98011-3147

Mailing address

11913 NE 195TH St
Bothell, WA 98011-3147
Phone (425) 489-3100

Other practice location 1

747 Broadway
Seattle, WA 98122-4379
Phone (206) 215-2520

Other identifiers 1

IdentifierTypeStateIssuer
2165774MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230822004088 WA Practitioner - Internal MedicinePractitioner - Hospitalist 5496173650 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Jan 18, 2026 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jan 18, 2026 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Jan 5, 2026 Accepting new patients
Virginia Mason Medical Center Internal Medicine CurrentSince Sep 28, 2023 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center CurrentSince Sep 28, 2023 Accepting new patients

Locations

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1467089235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11913 NE 195TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113147",
            "telephone_number": "425-489-3100",
            "fax_number": "877-516-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11913 NE 195TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113147",
            "telephone_number": "425-489-3100",
            "fax_number": "877-516-8649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 Broadway",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224379",
            "country_code": "US",
            "telephone_number": "206-215-2520",
            "fax_number": "206-386-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASSANI",
        "first_name": "KHADIJ",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP61441649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165774",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "11913 NE 195th St",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980113147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.