Active NPI
Avneet Clair Rattan, MD
- Family Medicine Physician
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60767681
- Practice address
- 3130 Ellis St
Bellingham, WA 98225-1904 - Phone
- (360) 734-4404
- NPI assigned
- Sep 17, 2016
- Last updated
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60767681 | WA | Primary |
| Family Medicine Physician | 207Q00000X | 430111039 | MI |
Addresses
Primary practice location
3130 Ellis St
Bellingham, WA 98225-1904
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-4831
Other practice location 1
65 James St
Edison, NJ 08820-3947
Phone (731) 321-7494
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430111039 | MI | MD | Family Medicine Physician |
| MD60767681 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
Locations
3130 Ellis St
Bellingham, WA 98225
Phone (360) 734-4404
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1619425717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-304-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 ELLIS ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251904",
"telephone_number": "360-734-4404"
}
],
"practiceLocations": [
{
"address_1": "65 James St",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088203947",
"country_code": "US",
"telephone_number": "731-321-7494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RATTAN",
"first_name": "AVNEET",
"middle_name": "CLAIR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-17",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60767681",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "430111039",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.