Organization Active NPI

Seahurst Pediatrics PLLC

  • Pediatrics Physician
  • Burien, WA
National Provider Identifier
1629002597
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00019385 Issued in WA
Legal business name
SEAHURST PEDIATRICS PLLC
Practice address
16233 Sylvester Rd SW
Suite 230
Burien, WA 98166-3045
Phone
(206) 242-7822
Fax
(206) 244-2133
NPI assigned
Jul 10, 2006
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Desmond Rabinowitz, MDNPI 1487683314
Title
Owner
Phone
(206) 242-7822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00019385 WA Primary

Addresses

Primary practice location

16233 Sylvester Rd SW
Suite 230
Burien, WA 98166-3045

Mailing address

PO Box 34935
Dept # 61
Seattle, WA 98124-1935
Phone (206) 439-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000830 WA Part B Supplier - Clinic/Group Practice 9931192606 Receives reassigned benefits from 3 practitioners
Practice locations: Burien, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0972750Seahurst Pediatrics16233 Sylvester Rd SW Ste 230, Burien, WA 98166Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

16110 8th Ave SW
Ste C2
Burien, WA 98166
Phone (206) 242-2611

16233 Sylvester Rd SW
Ste 230
Burien, WA 98166
Phone (206) 242-7822

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1629002597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34935",
            "address_2": "DEPT # 61",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241935",
            "telephone_number": "206-439-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW",
            "address_2": "SUITE 230",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663045",
            "telephone_number": "206-242-7822",
            "fax_number": "206-244-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAHURST PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "RABINOWITZ",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-242-7822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00019385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.