Individual provider Active NPI

Kevin T Dooms, MD

  • Allergy & Immunology Physician
  • Bellevue, WA
National Provider Identifier
1548226285
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD60080408 Issued in WA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8547648MedicaidWA
0067890OtherWAL&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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000603 WA Practitioner - Allergy/Immunology 4486728714 Reassigns benefits to 1 organization

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
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
MD60080408WAMDAllergy & Immunology Physician
1336-TEPWIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Apr 1, 2017 Accepting new patients
Swedish Health Services Pediatrics CurrentSince Apr 1, 2017 Accepting new patients
Swedish Health Services Past Accepting new patients
Bellingham Asthma Allergy Immunology Clinic PS Allergy & Immunology PastSince Jan 1, 2001 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.