Active NPI
Alan Curtis Boudousquie, MD
- Anatomic Pathology & Clinical Pathology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD00033212
- Practice address
- 747 Broadway
Seattle, WA 98122-4306 - Phone
- (206) 386-6000
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | G85573 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD00033212 | WA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G85573 | CA | |
| Cytopathology Physician | 207ZC0500X | MD00033212 | WA |
Addresses
Primary practice location
747 Broadway
Seattle, WA 98122-4306
Mailing address
PO Box 3941
Seattle, WA 98124-3941
Phone (206) 386-2676
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203961 | Other | WA | LABOR & INDUSTRIES |
| 8377129 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Oregon Health Sciences University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12040 NE 128TH St
Ms 44
Kirkland, WA 98034-3013
Phone (844) 344-4209
1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000
21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 640-4000
500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-2000
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G85573 | CA | MD | Cytopathology Physician |
| MD00033212 | WA | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cellnetix Pathology, PLLC | Cytopathology | Current | Accepting new patients |
| Cellnetix Pathology, PLLC | Cytopathology | Current | Accepting new patients |
| Cellnetix Pathology, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Yosemite Pathology Medical Group, in | Past | Accepting new patients | |
| Cellnetix Pathology, PLLC | Cytopathology | Past | Accepting new patients |
Locations
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Everett, WA
- NPI 1356310866
Cytopathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane, WA
- NPI 1811262272
Cytopathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
- NPI 1598624207
-
- Anatomic Pathology & Clinical Pathology Physician
- Seattle, WA
- NPI 1972563385
Cytopathology
-
- Clinical Medical Laboratory
- Tracy, CA
- NPI 1114192176
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1467421610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3941",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981243941",
"telephone_number": "206-386-2676",
"fax_number": "206-386-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224306",
"telephone_number": "206-386-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUDOUSQUIE",
"first_name": "ALAN",
"middle_name": "CURTIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "G85573",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD00033212",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G85573",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "WA",
"license": "MD00033212",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "203961",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8377129",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.