NPIMap

Individual provider Active NPI

Daniel S Raskind, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bellevue, WA
National Provider Identifier
1518034834
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD00040552 Issued in WA
Practice address
1750 112TH Ave NE
Suite A101
Bellevue, WA 98004-3752
Phone
(425) 688-5398
Fax
(425) 688-5756
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD00040552 WA Primary

Addresses

Primary practice location

1750 112TH Ave NE
Suite A101
Bellevue, WA 98004-3752

Mailing address

1750 112TH Ave NE
Suite A101
Bellevue, WA 98004-3752
Phone (425) 688-5398

Other identifiers 1

IdentifierTypeStateIssuer
8296469MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000403 WA Practitioner - General PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 8224064795 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00040552WAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John H. Addison MD PS Geriatric Medicine CurrentSince Sep 6, 2014 Accepting new patients
Cascades at Thornton Creek LLC PastSince Oct 1, 2024 Accepting new patients
Bellevue Internal Medicine Associates PLLC Geriatric Medicine Past Accepting new patients
Saint Anne Corporation Past Accepting new patients
BD Monroe I LLC PastSince Oct 1, 2019 Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients

Locations

9150 Fortuna Dr
Mercer Island, WA 98040
Phone (206) 268-3000

9725 SE 36th St
Ste 214
Mercer Island, WA 98040
Phone (206) 275-3588

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regency Care Center at MonroeMonroe, WA, CCN 505350 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2019
Oct 1, 2019
Cascades at St AnneSeattle, WA, CCN 505417B Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
Oct 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1518034834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "SUITE A101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "425-688-5398",
            "fax_number": "425-688-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "SUITE A101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "425-688-5398",
            "fax_number": "425-688-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKIND",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00040552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8296469",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.