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

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.

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 (11 clinicians)

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 (individual)

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 IDStateProvider typePAC IDDetails
I20070214000312 WA Practitioner - Diagnostic Radiology 8123910155 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00021389WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Scanning Consultants PA Diagnostic Radiology Current
since Jul 30, 2018
Accepting new patients
Radiology Consultants of Washington, Inc., P.S. Diagnostic Radiology Current
since Dec 23, 2025
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
since Jul 22, 2002
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1066161OtherWAFIRST HEALTH/CCN
2893654OtherWAAETNA
010383910OtherWATRICARE
7499117OtherWACIGNA
8107146MedicaidWA
8937367OtherWAL & I CRIME VICTIMS
170470OtherWAL & I WORKERS COMP
4316ACOtherWAREGENCE BLUESHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2008.

{
    "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": []
}

Other providers in Bellevue, WA

All providers in Bellevue, WA · Diagnostic Radiology Physician in Washington

Sources for this page

Verify at the official NPI Registry.