Active NPI
Farnaz Houshmand, M.D.
- Internal Medicine Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD61259331
- Practice address
- 209 Martin Luther King Jr Way
Tacoma, WA 98405-4265 - Phone
- (253) 596-3300
- Fax
- (253) 596-3301
- NPI assigned
- Jul 16, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28076 | WV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 28076 | WV | |
| Pulmonary Disease Physician | 207RP1001X | 28076 | WV | |
| Internal Medicine Physician | 207R00000X | MD61259331 | WA | Primary |
Addresses
Primary practice location
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Mailing address
209 Martin Luther King Jr Way
Tacoma, WA 98405-4267
Phone (253) 596-3300
Other practice location 1
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000
Other practice location 2
2000 Foundation Way Ste 3300
Martinsburg, WV 25401
Phone (304) 596-6868
Other practice location 3
2000 Foundation Way Ste 3300
Martinsburg, WV 25401
Phone (304) 596-6868
Other names 1
- Seyeded Farnaz Houshmand
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fhoushmand124462@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | fhoushmand124462@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
Interoperability endpoints
- fhoushmand4087604@ghc.direct-ci.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1548515588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054267",
"telephone_number": "253-596-3300",
"fax_number": "253-596-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054265",
"telephone_number": "253-596-3300",
"fax_number": "253-596-3301"
}
],
"practiceLocations": [
{
"address_1": "2500 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "254013402",
"country_code": "US",
"telephone_number": "304-264-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Foundation Way Ste 3300",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "25401",
"country_code": "US",
"telephone_number": "304-596-6868",
"fax_number": "304-596-6866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Foundation Way Ste 3300",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "25401",
"country_code": "US",
"telephone_number": "304-596-6868",
"fax_number": "304-596-6866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSHMAND",
"first_name": "FARNAZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "28076",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WV",
"license": "28076",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WV",
"license": "28076",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61259331",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fhoushmand124462@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2500 Hospital Dr",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254013402",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fhoushmand124462@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2500 Hospital Dr",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254013402",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "209 Martin Luther King Jr Way",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SEYEDED FARNAZ",
"last_name": "HOUSHMAND",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.