Individual provider Active NPI

Alhasan Juhani, M.D.

  • Family Medicine Physician
  • Everett, WA
National Provider Identifier
1467410647
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60305393 Issued in WA
Practice address
3927 Rucker Ave
Everett, WA 98201-4833
Phone
(425) 259-0966
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44556 MN
Family Medicine Physician 207Q00000X MD60305393 WA Primary

Addresses

Primary practice location

3927 Rucker Ave
Everett, WA 98201-4833

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-8431

Other practice location 1

219 State Ave N Ste 100
Kent, WA 98030-4543
Phone (253) 372-3602

Other identifiers 1

IdentifierTypeStateIssuer
2022299MedicaidWA

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
I20121005000533 WA Practitioner - Family Practice 9830134931 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians

Practice addresses (Care Compare)

17209 Redmond Way
Redmond, WA 98052-4404
Phone (425) 635-6400

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

33501 1St Way S
Federal Way, WA 98003-6208
Phone (253) 838-2400

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

5708 E Lake Samm Pkwy SE
Issaquah, WA 98029-8942
Phone (425) 688-5488

9709 3Rd Ave NE
Optum Northgate Plaza Urgent Care
Seattle, WA 98115-2077
Phone (206) 401-3191

Hospital & facility affiliations

  • Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60305393WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Medicine Current Accepting new patients
Healthpoint CurrentSince Oct 4, 2022 Accepting new patients
Virginia Mason Medical Center CurrentSince Apr 20, 2023 Accepting new patients
Overlake Medical Clinics LLC CurrentSince May 19, 2025 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
The Polyclinic CurrentSince Dec 4, 2023 Accepting new patients
Virginia Mason Medical Center CurrentSince Apr 20, 2023 Accepting new patients
The Polyclinic PLLC Family Medicine CurrentSince Dec 4, 2023 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Healthpoint CurrentSince Oct 4, 2022 Accepting new patients
The Polyclinic PLLC Family Medicine Current Accepting new patients
University of Minnesota Physicians Past Accepting new patients
The Polyclinic PLLC Family Medicine Past Accepting new patients
Healthpoint Family Medicine Past Accepting new patients
Radia Inc P S Past Accepting new patients
Virginia Mason Medical Center Past Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

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

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

10223 NE 10th St
Bellevue, WA 98004
Phone (425) 453-3288

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

619 156th Ave SE
Bellevue, WA 98007
Phone (425) 637-3270

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

33501 1st Way S
Federal Way, WA 98003
Phone (253) 838-2400

5708 E Lake Sammamish Pkwy SE
Ste 102
Issaquah, WA 98029
Phone (425) 688-5488

219 State Ave N
Ste 100
Kent, WA 98030
Phone (253) 372-3602

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

13159 Newcastle Commons Dr
Newcastle, WA 98059
Phone (425) 635-3010

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

17209 Redmond Way
Redmond, WA 98052
Phone (425) 635-6400

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

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

1145 Broadway
Seattle, WA 98122

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

Interoperability endpoints

  • Direct secure messaging: alhasan.juhani@49412312072196.direct.elationemr.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/
  • Direct secure messaging: ajuhani12820@direct.tecmc.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1467410647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-304-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014833",
            "telephone_number": "425-259-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 State Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980304543",
            "country_code": "US",
            "telephone_number": "253-372-3602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUHANI",
        "first_name": "ALHASAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "44556",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60305393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022299",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.