Rolando I Celis Valdiviezo, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD60254843 Issued in WA

Practice address

1330 Rockefeller Ave Ste 520
Everett, WA 98201

Phone

(425) 297-5200

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Vascular SurgeryAlso: General Surgery

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcelisvaldiviezo1110457@wm.providencedirect.org

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.

• Providence Health & Services- Washington

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  Medicare reassignment Care Compare group NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Auburn, WA
  • NPI 1043365257
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1154476216
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1245385467
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bellingham, WA
  • NPI 1295145894
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Seattle, WA
  • NPI 1295880433
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Port Ludlow, WA
  • NPI 1336019314
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Federal Way, WA
  • NPI 1518012608
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Edmonds, WA
  • NPI 1558417675
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bothell, WA
  • NPI 1619300308
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Port Angeles, WA
  • NPI 1639776842
  NPD
• Pacific Vascular Incorporated

  • Physiological Laboratory
  • Bothell, WA
  • NPI 1750436945
  NPD

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

• Providence Health & Services-Wa

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1497975361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ROCKEFELLER AVE STE 520",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-297-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Campbell Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "98310",
            "country_code": "US",
            "telephone_number": "360-479-4203",
            "fax_number": "360-478-7240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELIS VALDIVIEZO",
        "first_name": "ROLANDO",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD60254843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcelisvaldiviezo1110457@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1330 Rockefeller Ave Ste 520",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Baboucarr Ceesay
• Bakary Ceesay
• Dannetta S Ceesay
• Lamin Ceesay, RN
• Omar K Ceesay
• Cellnetix Labs LLC
• Cellnetix Pathology, PLLC
• Center for Wellness and Pain Care of Las Vegas Inc
• Center for Wellness and Pain Care of Washington
• Centerwell Certified Healthcare Corp.

• Vascular Surgery Physician in Everett, WA
• Providers in Everett, WA by specialty
• Vascular Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.

Verify at the official NPI Registry.