Marita Barbara Acheson, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Bellevue, WA
NPI 1528087582 · NPPES record last updated Jan 18, 2008
Key facts
- NPI
- 1528087582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD00021389 (WA)
- Practice address
- 1135 116TH Ave NE
Suite 250
Bellevue, WA 98004-4623 - Phone
- (425) 688-5985
- Fax
- (425) 467-3685
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology Consultants of Washington Inc PS
Practice addresses (Care Compare)
1301 4TH Ave NW
Suite 202
Issaquah, WA 98027-9371
Phone (425) 600-1054
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070214000312 | WA | Practitioner - Diagnostic Radiology | 8123910155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00021389 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Scanning Consultants PA | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology Consultants of Washington, Inc., P.S. | Diagnostic Radiology | Current |
Accepting new patients |
| Overlake Breast Imaging LLC | Past | Accepting new patients | |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients | |
| Medical Scanning Consultants PA | Diagnostic Radiology | Past | Accepting new patients |
| Breast Imaging Associates, P.S. | Diagnostic Radiology | Past |
Accepting new patients |
| Radiology Consultants of Washington, Inc., P.S. | Diagnostic Radiology | Past | Accepting new patients |
Locations
5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338
1810 116th Ave NE
Ste 101
Bellevue, WA 98004
Phone (425) 974-1044
1310 116th Ave NE
Ste E
Bellevue, WA 98004
Phone (425) 250-1145
3131 Nassau St
#102
Everett, WA 98201
Phone (425) 740-5000
33801 1st Way S
Ste 101
Federal Way, WA 98003
Phone (253) 942-7226
1301 4th Ave NW
Ste 202
Issaquah, WA 98027
Phone (425) 600-1054
463 Tremont St W
Ste 130
Port Orchard, WA 98366
Phone (360) 876-3141
20700 Bond Rd NE
Bldg B
Poulsbo, WA 98370
Phone (206) 451-4308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00021389 | WA | Yes |
Addresses
Primary practice location
1135 116TH Ave NE
Suite 250
Bellevue, WA 98004-4623
Mailing address
PO Box 24905
Seattle, WA 98124-0905
Phone (888) 846-5527
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1066161 | Other | WA | FIRST HEALTH/CCN |
| 2893654 | Other | WA | AETNA |
| 010383910 | Other | WA | TRICARE |
| 7499117 | Other | WA | CIGNA |
| 8107146 | Medicaid | WA | |
| 8937367 | Other | WA | L & I CRIME VICTIMS |
| 170470 | Other | WA | L & I WORKERS COMP |
| 4316AC | Other | WA | REGENCE BLUESHIELD |
NPI Registry JSON
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1528087582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24905",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981240905",
"telephone_number": "888-846-5527",
"fax_number": "607-324-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 116TH AVE NE",
"address_2": "SUITE 250",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044623",
"telephone_number": "425-688-5985",
"fax_number": "425-467-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHESON",
"first_name": "MARITA",
"middle_name": "BARBARA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00021389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/CCN",
"identifier": "1066161",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2893654",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "010383910",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7499117",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8107146",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I CRIME VICTIMS",
"identifier": "8937367",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I WORKERS COMP",
"identifier": "170470",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "4316AC",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.