Individual provider Active NPI

Nicholas Robert Seibert, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Seattle, WA
National Provider Identifier
1508082033
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
MD60147145 Issued in WA
Practice address
601 Broadway
Seattle, WA 98122-5330
Phone
(206) 386-2600
Fax
(206) 622-1644
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X MD60147145 WA Primary
Orthopaedic Surgery Physician 207X00000X MD60147145 WA

Addresses

Primary practice location

601 Broadway
Seattle, WA 98122-5330

Mailing address

805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100

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
I20100925000298 WA Practitioner - Orthopedic Surgery 3971658618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Opa Ortho PLLCGroup PAC ID 7012371305, 42 clinicians

Practice addresses (Care Compare)

601 Broadway
Suite 700
Seattle, WA 98122-5330
Phone (206) 622-2600

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Opa Ortho PLLC Orthopaedic Surgery CurrentSince Oct 1, 2023 Accepting new patients
Proliance Surgeons Inc., P.S. Orthopaedic Surgery CurrentSince Aug 15, 2010 Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery CurrentSince Aug 15, 2010 Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery Current Accepting new patients

Locations

20700 Bond Rd NE
Ste 103
Poulsbo, WA 98370
Phone (206) 799-2132

601 Broadway
Fl 6
Seattle, WA 98122
Phone (206) 633-8100

601 Broadway
Fl 7
Seattle, WA 98122
Phone (206) 518-6311

601 Broadway
#700
Seattle, WA 98122
Phone (206) 622-2600

601 Broadway
Seattle, WA 98122
Phone (206) 215-6415

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • Direct secure messaging: nicholas.seibert.p1@direct.opa.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1508082033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST",
            "address_2": "SUITE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-264-8100",
            "fax_number": "206-264-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225330",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "WA",
            "license": "MD60147145",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60147145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.