Individual provider Active NPI

Constantine W Palaskas, MD

  • Otology & Neurotology Physician
  • Seattle, WA
National Provider Identifier
1609834258
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
MD00022586 Issued in WA
Practice address
1221 Madison St Ste 1410
Seattle, WA 98104-3555
Phone
(206) 486-8088
Fax
(206) 971-1656
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD00022586 WA
Otology & Neurotology Physician 207YX0901X MD00022586 WA Primary

Addresses

Primary practice location

1221 Madison St Ste 1410
Seattle, WA 98104-3555

Mailing address

1570 West Armory Way
Suite 101, PMB#105
Seattle, WA 98119
Phone (206) 486-8088

Other practice location 1

1101 Madison St Ste 301
Seattle, WA 98104-3599
Phone (206) 505-1300

Other practice location 2

601 S Carr Rd Ste 100
Renton, WA 98055-5802
Phone (425) 227-3700

Other practice location 3

1570 West Armory Way
Suite 101, PMB#105
Seattle, WA 98119
Phone (206) 486-8088

Other practice location 4

1909 214th St SE Ste 300
Bothell, WA 98021-4418
Phone (425) 412-7200

Other identifiers 2

IdentifierTypeStateIssuer
1064799MedicaidWA
PA0011OtherWAREGENCE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cpalaskas1042863@wm.providencedirect.org Direct
Direct Messaging Address cpalaskas1042863@wm.providencedirect.org Direct
Direct Messaging Address cpalaskas1042863@wm.providencedirect.org Direct

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
I20050311000095 WA Practitioner - Otolaryngology 4082506548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Vanderbilt University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00022586WAMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacmed Clinics Current Accepting new patients
Northwest Ear Inc PS CurrentSince Oct 25, 2020 Accepting new patients
Pacmed Clinics CurrentSince Feb 5, 2021 Accepting new patients

Locations

1909 214th St SE
Ste 300
Bothell, WA 98021
Phone (425) 412-6335

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

1801 Lind Ave SW
Bldg D
Renton, WA 98057
Phone (425) 227-3700

601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

1221 Madison St
Ste 1410
Seattle, WA 98104
Phone (206) 324-3300

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: cpalaskas1042863@wm.providencedirect.org

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.

Hospital & facility affiliations 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1609834258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 WEST ARMORY WAY",
            "address_2": "SUITE 101, PMB#105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98119",
            "telephone_number": "206-486-8088",
            "fax_number": "206-971-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST STE 1410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043555",
            "telephone_number": "206-486-8088",
            "fax_number": "206-971-1656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Madison St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043599",
            "country_code": "US",
            "telephone_number": "206-505-1300",
            "fax_number": "206-505-1258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S Carr Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555802",
            "country_code": "US",
            "telephone_number": "425-227-3700",
            "fax_number": "425-227-3116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1570 West Armory Way",
            "address_2": "SUITE 101, PMB#105",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98119",
            "country_code": "US",
            "telephone_number": "206-486-8088",
            "fax_number": "206-971-1656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 214th St SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980214418",
            "country_code": "US",
            "telephone_number": "425-412-7200",
            "fax_number": "425-412-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALASKAS",
        "first_name": "CONSTANTINE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00022586",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "WA",
            "license": "MD00022586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1064799",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "PA0011",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpalaskas1042863@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 S Carr Rd Ste 100",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980555802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpalaskas1042863@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1909 214th St SE Ste 300",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980214418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpalaskas1042863@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 Madison St Ste 301",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981043599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.