Active NPI
Annisa L. Jamil, M.D.
- Glaucoma Specialist (Ophthalmology) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- MD00044821
- Practice address
- 1101 Madison St
Ste 600
Seattle, WA 98104-3501 - Phone
- (206) 215-2020
- Fax
- (206) 215-2022
- NPI assigned
- Jun 30, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 44821 | WA | |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | MD00044821 | WA | Primary |
Addresses
Primary practice location
1101 Madison St
Ste 600
Seattle, WA 98104-3501
Mailing address
1101 Madison St
Ste 600
Seattle, WA 98104-3501
Phone (206) 215-2020
Other practice location 1
1229 Madison St Ste 620
Seattle, WA 98104-3304
Phone (206) 215-3850
Other practice location 2
1750 112th Ave NE Ste D050
Bellevue, WA 98004-3779
Phone (206) 215-3850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014828 | 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
- Ophthalmology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Madison St
Suite 600
Seattle, WA 98104-3501
Phone (206) 215-2020
11325 NE 120TH St
Kirkland, WA 98034-6907
Phone (425) 821-6655
1455 NW Leary Way
Suite 300
Seattle, WA 98107-5138
Phone (206) 784-3350
34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.62 of 100
- Quality
- 85.07
- Improvement activities
- 40
- Cost
- 76.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 93 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44821 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Eye Center, PLLC | Current | Accepting new patients | |
| Evergreen Eye Center, PLLC | Ophthalmology | Current | Accepting new patients |
| Eye Associates Northwest, PLLC | Ophthalmology | Current | Accepting new patients |
| Evergreen Eye Center, PLLC | Ophthalmology | Current | Accepting new patients |
| Evergreen Eye Center, PLLC | Ophthalmology | Past | Accepting new patients |
| Evergreen Eye Center, PLLC | Ophthalmology | Past | Accepting new patients |
| Evergreen Eye Center, PLLC | Past | Accepting new patients |
Locations
1750 112th Ave NE
Ste D050
Bellevue, WA 98004
Phone (425) 296-3837
34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100
11325 NE 120th St
Kirkland, WA 98034
Phone (425) 821-6655
11919 NE 128th St
Ste A
Kirkland, WA 98034
Phone (425) 820-6307
1229 Madison St
Ste 680
Seattle, WA 98104
Phone (206) 812-9470
1455 NW Leary Way
Ste 300
Seattle, WA 98107
Phone (206) 784-3350
1101 Madison St
Ste 200
Seattle, WA 98104
Phone (206) 320-7750
1101 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-2004
1229 Madison St
Ste 620
Seattle, WA 98104
Interoperability endpoints
- annisa.jamil.p16@direct.proliance.nextgenshare.com
Organizations & group practices 7
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.
-
- Ophthalmology Physician
- Federal Way, WA
- NPI 1700959293
-
- Ophthalmology Physician
- Seattle, WA
- NPI 1811952815
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1184689408
-
- Ophthalmology Physician
- Tacoma, WA
- NPI 1407401920
-
- Ophthalmology Physician
- Seattle, WA
- NPI 1275387995
-
- Ophthalmology Physician
- Burien, WA
- NPI 1538238043
-
- Ambulatory Surgical Clinic/Center
- Federal Way, WA
- NPI 1821167479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1629006135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "STE 600",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043501",
"telephone_number": "206-215-2020",
"fax_number": "206-215-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "STE 600",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043501",
"telephone_number": "206-215-2020",
"fax_number": "206-215-2022"
}
],
"practiceLocations": [
{
"address_1": "1229 Madison St Ste 620",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043304",
"country_code": "US",
"telephone_number": "206-215-3850",
"fax_number": "206-215-3870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1750 112th Ave NE Ste D050",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980043779",
"country_code": "US",
"telephone_number": "206-215-3850",
"fax_number": "206-215-3870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMIL",
"first_name": "ANNISA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "44821",
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "WA",
"license": "MD00044821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014828",
"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 Jan 3, 2024; 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.