Individual provider Active NPI

Lisa Alexius Pujol Boe, MD

  • Internal Medicine Physician
  • Bellevue, WA
National Provider Identifier
1548343122
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A85353 Issued in CA
Practice address
10620 NE 8TH St
Bellevue Pain Institute
Bellevue, WA 98004-4380
Phone
(425) 999-9633
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A85353 CA Primary

Addresses

Primary practice location

10620 NE 8TH St
Bellevue Pain Institute
Bellevue, WA 98004-4380

Mailing address

12507 NE Bel Red Rd
Ste 103
Bellevue, WA 98005-2500
Phone (925) 984-5946

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
I20130801000796 WA Practitioner - Internal Medicine 7517986532 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85353CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince May 4, 2013 Accepting new patients
Best Northwest Physicians PLLC Internal Medicine CurrentSince Jun 6, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Public Hospital District No 1 of Snohomish County CurrentSince Dec 31, 2015 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince May 4, 2013 Accepting new patients
Public Hospital District 1 of Snohomish County CurrentSince Dec 31, 2015 Accepting new patients
John H. Addison MD PS CurrentSince Jul 11, 2019 Accepting new patients

Locations

4508 Auburn Way N
Ste C
Auburn, WA 98002
Phone (253) 737-5764

21301 State Route 410 E
Bonney Lake, WA 98391
Phone (253) 862-2533

9725 SE 36th St
Ste 214
Mercer Island, WA 98040
Phone (206) 275-3588

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

100 N 85th St
Seattle, WA 98103
Phone (206) 784-7601

509 Olive Way
Ste 900
Seattle, WA 98101
Phone (206) 860-4413

820 NW 95th St
Seattle, WA 98117
Phone (206) 781-6800

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1548343122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 NE BEL RED RD",
            "address_2": "STE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052500",
            "telephone_number": "925-984-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 NE 8TH ST",
            "address_2": "BELLEVUE PAIN INSTITUTE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044380",
            "telephone_number": "425-999-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUJOL BOE",
        "first_name": "LISA",
        "middle_name": "ALEXIUS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.