Active NPI
Lee Burnside, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD33954
- Practice address
- 64 Rainier Ave S
Renton, WA 98057-2047 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Oct 19, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD33954 | WA | Primary |
| Internal Medicine Physician | 207R00000X | MD00033954 | WA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD33954 | WA |
Addresses
Primary practice location
64 Rainier Ave S
Renton, WA 98057-2047
Mailing address
64 Rainier Ave S
Renton, WA 98057-2047
Phone (425) 224-2144
Other practice location 1
1200 12th Ave S
Seattle, WA 98144-2712
Phone (206) 326-2400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00307116 | Other | WA | RAILROAD MC # VM |
| 8205866 | Medicaid | WA | |
| 0039581 | Other | WA | LABOR AND INDUSTRIES # VM |
| 9385BU | Other | WA | BLUE SHIELD # VM |
| US5478718 | Other | WA | AETNA SPECIALIST PIN # VM |
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
- Internal Medicine
- Education
- Rush Medical College of Rush University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 12TH Ave S
Seattle, WA 98144-2712
Phone (206) 326-2400
Hospital & facility affiliations
- Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00033954 | WA | MD | Internal Medicine Physician |
| MD33954 | WA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Internal Medicine | Current | Accepting new patients |
Locations
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
Interoperability endpoints
- lburnside@landmarkhealth-direct.org
- lburnside122090@direct.ehre.uwmedicine.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mirabella Seattle | Skilled nursing facility | Corporate Officer Corporate Director |
Oct 1, 2024 Oct 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1497744684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 RAINIER AVE S",
"city": "RENTON",
"state": "WA",
"postal_code": "980572047",
"telephone_number": "425-224-2144",
"fax_number": "425-341-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 RAINIER AVE S",
"city": "RENTON",
"state": "WA",
"postal_code": "980572047",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "1200 12th Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981442712",
"country_code": "US",
"telephone_number": "206-326-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNSIDE",
"first_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "WA",
"license": "MD33954",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00033954",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "WA",
"license": "MD33954",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC # VM",
"identifier": "P00307116",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8205866",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES # VM",
"identifier": "0039581",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD # VM",
"identifier": "9385BU",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALIST PIN # VM",
"identifier": "US5478718",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.