Amanda Radovich, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60421555 Issued in WA

Practice address

4455 148TH Ave NE # B1
Bellevue, WA 98007-3120

Phone

(063) 862-6002

Fax

(425) 296-3622

NPI assigned

Oct 31, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Opa Ortho PLLCGroup PAC ID 7012371305, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9932/brand/1/csg/1/fhir/r4
• Direct secure messaging: amanda.cordes@2803.securemail.prognocis.com
• Direct secure messaging: amanda.radovichpac.p1@direct.opa.nextgenshare.com

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.

• Opa Ortho PLLC

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1821787334
  Medicare reassignment Care Compare group
• South Sound Neurosurgery PLLC

  • Neurological Surgery Physician
  • Puyallup, WA
  • NPI 1417992389
  Medicare reassignment NPD
• South Sound Neurosurgery PLLC

  • Durable Medical Equipment & Medical Supplies
  • Puyallup, WA
  • NPI 1013503523
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• King County Public Hospital District No. 2

  • General Acute Care Hospital
  • Kirkland, WA
  • NPI 1033174933
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1548698442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROADWAY FL 7",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225330",
            "telephone_number": "425-820-1221",
            "fax_number": "425-821-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 148TH AVE NE # B1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073120",
            "telephone_number": "063-862-6002",
            "fax_number": "425-296-3622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Broadway Fl 7",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225330",
            "country_code": "US",
            "telephone_number": "206-386-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADOVICH",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60421555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer K Radach, LMP
• Gwen Rader
• Radiant Dermatology LLC
• Charles William Radican, MA
• Radka Chapin Counseling, LLC
• Eitan Radstone
• Buster Jonas Radvik, MA
• Aysha Rafiq, LMHCA
• Riya Ashish Raghute
• Rebecca Ragland

• Medical Physician Assistant in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.

Verify at the official NPI Registry.