Active NPI
Ulrik Georg Wallin, MD
- Colon & Rectal Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- MD60553312
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047912 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| First Hill Surgery Center LLC | Current | 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
- 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.
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1306217039
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.