Active NPI
Bettina W Paek, M.D.
- Maternal & Fetal Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD00043865
- Practice address
- 1959 NE Pacific St # 356460
Seattle, WA 98195-6460 - Phone
- (206) 598-0003
- Fax
- (206) 616-9479
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | MD00043865 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St # 356460
Seattle, WA 98195-6460
Mailing address
6815 SE 33Rd St
Mercer Island, WA 98040-3302
Phone (206) 230-4290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8395881 | Medicaid | WA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Washington Inc PS | Maternal & Fetal Medicine | Current | Accepting new patients |
| Seattle Children's Hospital | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Seattle Children's Hospital | Current | Accepting new patients | |
| Seattle Children's Hospital | Past | Accepting new patients | |
| Seattle Nuclear Medicine-Ultrasound Associates | Past | Accepting new patients |
Locations
File 50978
Los Angeles, CA 90074
770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
12333 NE 130th Ln
Ste 240
Kirkland, WA 98034
Phone (425) 899-2200
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
Interoperability endpoints
- bpaek134132@direct.seattlechildrens.org
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.
-
- Maternal & Fetal Medicine Physician
- Seattle, WA
- NPI 1861599573
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
dba Children's University Medical Group
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
-
- Rehabilitation Hospital Unit
- Seattle, WA
- NPI 1184708992
-
dba Seattle Childrens Outpatient Pharmacy
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- Home Infusion Agency
- Bothell, WA
- NPI 1245383348
-
- Radiology Clinic/Center
- Seattle, WA
- NPI 1265506349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538218441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 SE 33RD ST",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980403302",
"telephone_number": "206-230-4290",
"fax_number": "206-230-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST # 356460",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981956460",
"telephone_number": "206-598-0003",
"fax_number": "206-616-9479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAEK",
"first_name": "BETTINA",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "WA",
"license": "MD00043865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8395881",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.