Individual provider Active NPI

Bettina W Paek, M.D.

  • Maternal & Fetal Medicine Physician
  • Seattle, WA
National Provider Identifier
1538218441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD00043865 Issued in WA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8395881MedicaidWA

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
I20040624000702 WA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 3779569595 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Washington Inc PS Maternal & Fetal Medicine CurrentSince May 17, 2008 Accepting new patients
Seattle Children's Hospital CurrentSince Feb 28, 2021 Accepting new patients
Seattle Childrens Hospital CurrentSince Feb 28, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.