Individual provider Active NPI

Alyssa Zemanek Ludke, MD

  • Pediatrics Physician
  • Bellevue, WA
National Provider Identifier
1578979860
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ML60561488 Issued in WA
Practice address
2700 Northup Way
Bellevue, WA 98004
Phone
(425) 827-4600
NPI assigned
Jul 7, 2014
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 ML60561488 WA Primary

Addresses

Primary practice location

2700 Northup Way
Bellevue, WA 98004

Mailing address

2700 Northup Way
Bellevue, WA 98004-1463
Phone (425) 827-4600

Other practice location 1

2475 140th Ave NE
Bellevue, WA 98005
Phone (253) 221-0634

Other practice location 2

2475 140th Ave NE
Bellevue, WA 98005
Phone (253) 221-0634

Other practice location 3

4800 Sand Point Way NE # Oc.7830
Seattle, WA 98105-3901
Phone (206) 987-2525

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
ML60561488WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umbrella Pediatrics PC Pediatrics Past Accepting new patients
University Place Pediatric Clinic P S Pediatrics Past Accepting new patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics Past Accepting new patients

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, 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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1578979860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NORTHUP WAY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041463",
            "telephone_number": "425-827-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NORTHUP WAY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-827-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2475 140th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98005",
            "country_code": "US",
            "telephone_number": "253-221-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2475 140th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98005",
            "country_code": "US",
            "telephone_number": "253-221-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Sand Point Way NE # Oc.7830",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981053901",
            "country_code": "US",
            "telephone_number": "206-987-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDKE",
        "first_name": "ALYSSA",
        "middle_name": "ZEMANEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "ML60561488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 19, 2018; 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.