Gary L. Rea, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

60167344 Issued in WA

Practice address

3815 S Othello St FL 2
Seattle, WA 98118-3510

Phone

(206) 788-3500

Fax

(206) 652-5216

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

International Community Health ServicesGroup PAC ID 5799695672, 95 clinicians

Sea Mar Community Health CentersGroup PAC ID 7315831161, shared by 37 NPIs, 235 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grea1070414@wm.providencedirect.org

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.

• International Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1376659151
  Medicare reassignment Care Compare group NPD
• International Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Bellevue, WA
  • NPI 1114363157
  NPD
• International Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Auburn, WA
  • NPI 1831910439
  NPD
• Sea-Mar Community Health Center

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1942358817
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Osu Surgery, LLC

  • Surgery Physician
  • Columbus, OH
  • NPI 1538117551
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1629063664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3007",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981143007",
            "telephone_number": "206-788-3500",
            "fax_number": "206-652-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S OTHELLO ST FL 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183510",
            "telephone_number": "206-788-3500",
            "fax_number": "206-652-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "GARY",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "60167344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Luke Razzano, MT-BC
• Katrina Sofia Rbeiz
• RBS Medical LLC
• Andrea Nicole Rea, MD
• Emma Mulcahy Rea, NP
• Hannah Rea, PHD
• Thomas David Rea, MD
• Veronica Y Rea
• Reach
• Reach Rehab, LLC

• Neurological Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Neurological Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.

Verify at the official NPI Registry.