Individual provider Active NPI

Jie Deng, M.D.

  • Reproductive Endocrinology Physician
  • Bellevue, WA
National Provider Identifier
1578876199
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD61103624 Issued in WA
Practice address
1600 116TH Ave NE Ste 104
Bellevue, WA 98004-3055
Phone
(425) 454-5767
Fax
(833) 559-1134
NPI assigned
Jul 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X A128020 CA
Obstetrics & Gynecology Physician 207V00000X A128020 CA
Maternal & Fetal Medicine Physician 207VM0101X A128020 CA
Reproductive Endocrinology Physician 207VE0102X MD61103624 WA Primary

Addresses

Primary practice location

1600 116TH Ave NE Ste 104
Bellevue, WA 98004-3055

Mailing address

15511 NE 22ND PL Unit 274
Bellevue, WA 98007-3866
Phone (561) 809-3818

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mychart.ochin.org/mychart/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52743CTMDInternal Medicine Physician
A128020CAMDReproductive Endocrinology Physician
MD61103624WAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Think Fertility Laboratory LLC CurrentSince Nov 19, 2023 Accepting new patients
Jie Deng, MD PLLC Reproductive Endocrinology Current Accepting new patients
Stanford Health Care Obstetrics & Gynecology Past Accepting new patients

Locations

1135 116th Ave NE
Ste 630
Bellevue, WA 98004
Phone (425) 453-2229

1600 116th Ave NE
Ste 104
Bellevue, WA 98004
Phone (425) 454-0345

Organizations & group practices 3

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": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1578876199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15511 NE 22ND PL UNIT 274",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073866",
            "telephone_number": "561-809-3818",
            "fax_number": "833-559-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE STE 104",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043055",
            "telephone_number": "425-454-5767",
            "fax_number": "833-559-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "JIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-24",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A128020",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A128020",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A128020",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WA",
            "license": "MD61103624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mychart.ochin.org/mychart/",
            "affiliation": "N",
            "address_1": "1195 W Fremont Ave",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940873832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.