Individual provider Active NPI

Dinesh Thekke Karumathil, MD

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1578753802
Registry record updated Nov 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60070930 Issued in WA
Practice address
1101 Madison St Ste 800
Seattle, WA 98104-1307
Phone
(206) 215-2700
NPI assigned
Aug 1, 2007
Last updated
Nov 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60070930 WA Primary

Addresses

Primary practice location

1101 Madison St Ste 800
Seattle, WA 98104-1307

Mailing address

1101 Madison St Ste 800
Seattle, WA 98104-1307
Phone (206) 215-2700

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
I20090617000069 WA Practitioner - Pediatric Medicine 4789734542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60070930WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Pediatrics CurrentSince Jul 1, 2009 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

1101 Madison St
Ste 800
Seattle, WA 98104

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

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, 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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257638400000",
    "number": "1578753802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041307",
            "telephone_number": "206-215-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041307",
            "telephone_number": "206-215-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEKKE KARUMATHIL",
        "first_name": "DINESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60070930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.