Individual provider Active NPI

Ulrik Georg Wallin, MD

  • Colon & Rectal Surgery Physician
  • Seattle, WA
National Provider Identifier
1598054355
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD60553312 Issued in WA
Practice address
1101 Madison St Ste 510
Seattle, WA 98104-3557
Phone
(206) 386-6600
Fax
(206) 386-2452
NPI assigned
Apr 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD60553312 WA Primary

Addresses

Primary practice location

1101 Madison St Ste 510
Seattle, WA 98104-3557

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

1801 NW Market St Ste 207
Seattle, WA 98107-3909
Phone (206) 320-7330

Other identifiers 1

IdentifierTypeStateIssuer
2047912MedicaidWA

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
I20150923002326 WA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4587806997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760

1221 Madison St
Suite 1220
Seattle, WA 98104-1356
Phone (206) 215-4250

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC Current Accepting new patients
The Polyclinic PLLC CurrentSince Sep 1, 2015 Accepting new patients
First Hill Surgery Center LLC CurrentSince Aug 16, 2016 Accepting new patients

Locations

1145 Broadway
Seattle, WA 98122

1801 NW Market St
Ste 207
Seattle, WA 98107
Phone (206) 320-7330

1101 Madison St
Ste 200
Seattle, WA 98104
Phone (206) 320-7750

Interoperability endpoints

  • Direct secure messaging: uwallin23652@direct.tecmc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1598054355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 510",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043557",
            "telephone_number": "206-386-6600",
            "fax_number": "206-386-2452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 NW Market St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981073909",
            "country_code": "US",
            "telephone_number": "206-320-7330",
            "fax_number": "206-730-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "ULRIK",
        "middle_name": "GEORG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "WA",
            "license": "MD60553312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047912",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.