Active NPI
Andrew Keith Solomon, MD
- Rheumatology Physician
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD00028680
- Practice address
- 1909 214TH St SE Ste 211
Bothell, WA 98021-4418 - Phone
- (425) 248-2626
- Fax
- (425) 248-2627
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD00028680 | WA | Primary |
Addresses
Primary practice location
1909 214TH St SE Ste 211
Bothell, WA 98021-4418
Mailing address
1909 214TH St SE Ste 211
Bothell, WA 98021-4418
Phone (425) 248-2626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1066679 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD00028680 | WA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Edmonds Rheumatology Associates Incorporated | Rheumatology | Past | Accepting new patients |
Locations
1909 214th St SE
Ste 211
Bothell, WA 98021
Phone (425) 248-2626
1728 W Marine View Dr
Ste 111
Everett, WA 98201
4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122
Organizations & group practices 4
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.
-
dba Western Wa Medical Group, Inc. Dept of Gastroenterology
- Gastroenterology Physician
- Everett, WA
- NPI 1023236528
-
dba WWMG Department of Psychiatry
- Psychiatry Physician
- Everett, WA
- NPI 1396413803
-
dba Western Washington Medical Group Dept of Infectious Disease
- Infectious Disease Physician
- Everett, WA
- NPI 1427816305
-
- Rheumatology Physician
- Edmonds, WA
- NPI 1487866299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1588607808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 214TH ST SE STE 211",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980214418",
"telephone_number": "425-248-2626",
"fax_number": "425-248-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 214TH ST SE STE 211",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980214418",
"telephone_number": "425-248-2626",
"fax_number": "425-248-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "ANDREW",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WA",
"license": "MD00028680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1066679",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.