Active NPI
Amir Loucas Bastawrous, MD
- Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036-090472
- Practice address
- 1101 Madison
Suite 500
Seattle, WA 98104 - Phone
- (206) 386-6600
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036-090472 | IL | Primary |
Addresses
Primary practice location
1101 Madison
Suite 500
Seattle, WA 98104
Mailing address
1101 Madison
Suite 500
Seattle, WA 98104
Phone (206) 386-6600
Other practice location 1
751 NE Blakely Dr Ste 4500
Issaquah, WA 98029-6201
Phone (425) 313-7075
Other practice location 2
21605 76th Ave W Ste 200
Edmonds, WA 98026-7520
Phone (425) 313-7075
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abastawrous1041096@wm.providencedirect.org | Direct | |
| Direct Messaging Address | abastawrous1041096@wm.providencedirect.org | Direct | |
| Direct Messaging Address | abastawrous1041096@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- University of Chicago, Pritzker School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1101 Madison St
Suite 1500
Seattle, WA 98104-3551
Phone (206) 991-2000
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
751 NE Blakely Dr
Issaquah, WA 98029-6201
Hospital & facility affiliations
- Swedish Issaquah
- Swedish Medical Center
- Swedish Medical Center / Cherry Hill
- Olympic Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 84.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 61 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-090472 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Surgery | Current | Accepting new patients |
| Swedish Health Services | Surgery | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
21605 76th Ave W
Ste 200
Edmonds, WA 98026
Phone (425) 775-1677
751 NE Blakely Dr
Ste 4500
Issaquah, WA 98029
Phone (206) 215-2090
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
800 5th Ave
Ste 600
Seattle, WA 98104
1101 Madison St
Ste 510
Seattle, WA 98104
Phone (206) 215-8180
1101 Madison St
Ste 500
Seattle, WA 98104
Phone (206) 320-7288
Interoperability endpoints
- abastawrous1041096@wm.providencedirect.org
Organizations & group practices 2
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.
-
- Surgery Physician
- Seattle, WA
- NPI 1053368571
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1609997485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON",
"address_2": "SUITE 500",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-386-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON",
"address_2": "SUITE 500",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-386-6600"
}
],
"practiceLocations": [
{
"address_1": "751 NE Blakely Dr Ste 4500",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980296201",
"country_code": "US",
"telephone_number": "425-313-7075",
"fax_number": "206-386-2452",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21605 76th Ave W Ste 200",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980267520",
"country_code": "US",
"telephone_number": "425-313-7075",
"fax_number": "206-386-2452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASTAWROUS",
"first_name": "AMIR",
"middle_name": "LOUCAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-090472",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abastawrous1041096@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1101 Madison",
"address_2": "Suite 500",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "98104",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abastawrous1041096@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "751 NE Blakely Dr Ste 4500",
"city": "Issaquah",
"state": "WA",
"country_code": "US",
"postal_code": "980296201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abastawrous1041096@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "21605 76th Ave W Ste 200",
"city": "Edmonds",
"state": "WA",
"country_code": "US",
"postal_code": "980267520",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 16, 2021; 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.