Active NPI
Kevin T Dooms, MD
- Allergy & Immunology Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD60080408
- Practice address
- 1200 112TH Ave NE
Suite C210
Bellevue, WA 98004-3732 - Phone
- (425) 454-2191
- Fax
- (425) 453-1270
- NPI assigned
- Apr 21, 2006
- Last updated
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD60080408 | WA | Primary |
| Pediatrics Physician | 208000000X | 1336-TEP | WI | |
| Pediatric Allergy/Immunology Physician | 2080P0201X | MD60080408 | WA |
Addresses
Primary practice location
1200 112TH Ave NE
Suite C210
Bellevue, WA 98004-3732
Mailing address
1200 112TH Ave NE
Suite C210
Bellevue, WA 98004-3732
Phone (425) 454-2191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8547648 | Medicaid | WA | |
| 0067890 | Other | WA | L&I |
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
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
515 Minor Ave
Suite 210
Seattle, WA 98104-2113
Phone (206) 838-9548
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 84.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60080408 | WA | MD | Allergy & Immunology Physician |
| 1336-TEP | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Pediatrics | Current | Accepting new patients |
| Swedish Health Services | Past | Accepting new patients | |
| Bellingham Asthma Allergy Immunology Clinic PS | Allergy & Immunology | Past | Accepting new patients |
| Pacific Rim Headache Center | Past | Accepting new patients | |
| SSM Health Care St. Louis | Pediatrics | Past | Accepting new patients |
| SSM Health Care St. Louis | Pediatrics | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
515 Minor Ave
Ste 210
Seattle, WA 98104
Phone (206) 340-1800
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Interoperability endpoints
- kdooms1041492@wm.providencedirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Swedish Physician Division
- General Practice Physician
- Renton, WA
- NPI 1497129696
-
- Allergy & Immunology Physician
- Bellingham, WA
- NPI 1174672281
-
- Physician Assistant
- Anacortes, WA
- NPI 1174822159
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Pediatrics
-
dba SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1548226285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 112TH AVE NE",
"address_2": "SUITE C210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043732",
"telephone_number": "425-454-2191",
"fax_number": "425-453-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 112TH AVE NE",
"address_2": "SUITE C210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043732",
"telephone_number": "425-454-2191",
"fax_number": "425-453-1270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOMS",
"first_name": "KEVIN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "WA",
"license": "MD60080408",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "1336-TEP",
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "WA",
"license": "MD60080408",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8547648",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0067890",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.