Active NPI
Shane E Ottmann, MD
- Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD.MD.61609280
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-1619 - Phone
- (206) 520-5000
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | MD61609280 | WA | |
| Surgery Physician | 208600000X | MD.MD.61609280 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-1619
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102632009 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Columbia Rd
Seattle, WA 98195-0001
Phone (206) 598-3100
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 526-2000
Hospital & facility affiliations
- University of Washington Medical Ctr
- Seattle Children'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 77.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.MD.61609280 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Association of CHMC and University Physicians | Current | Accepting new patients | |
| Johns Hopkins University | Transplant Surgery | Current | Accepting new patients |
| University of Maryland Surgical Associates, PA | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Surgery | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| The Association of University Physicians | Surgery | Current | Accepting new patients |
| Pinnacle Health Medical Services | Surgery | Current | Accepting new patients |
| University of Washington | Past | Accepting new patients | |
| Harborview Medical Center | Past | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300
600 N Wolfe St
Baltimore, MD 21287
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
205 S Front St
Fl 8
Harrisburg, PA 17104
Phone (717) 231-8810
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1959 NE Pacific St
Fl 3
Seattle, WA 98195
Phone (206) 543-8981
325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Interoperability endpoints
- sottmann406776@direct.seattlechildrens.org
- sottmann1717496@direct.ehre.uwmedicine.org
Organizations & group practices 11
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.
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
Surgery
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Surgery
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Specialist
- Baltimore, MD
- NPI 1962417634
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Seattle, WA
- NPI 1184708992
-
- Children's Hospital
- Seattle, WA
- NPI 1467536276
-
- Psychiatric Hospital Unit
- Seattle, WA
- NPI 1477622595
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Seattle, WA
- NPI 1811041692
Hospital
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
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": "1733356800000",
"number": "1629006374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981951619",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTMANN",
"first_name": "SHANE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "WA",
"license": "MD61609280",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD.MD.61609280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102632009",
"state": "PA"
}
],
"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 Dec 5, 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.