Individual provider Active NPI

Daniel Albert Schual-Berke, MD

  • Emergency Medicine Physician
  • Seattle, WA
National Provider Identifier
1639234347
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD 00019954 Issued in WA
Practice address
604 SW 206 St
Seattle, WA 98166-4136
Phone
(206) 824-6089
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD 00019954 WA Primary

Addresses

Primary practice location

604 SW 206 St
Seattle, WA 98166-4136

Mailing address

604 SW 206 St
Seattle, WA 98166-4136
Phone (206) 824-6089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 00019954WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Emergency Physicians Emergency Medicine Past Accepting new patients
Affilion LLC Past Accepting new patients
Scheuber Road Emergency Physicians Emergency Medicine Past Accepting new patients
North Sound Emergency Medicine PC Emergency Medicine PastSince Feb 8, 2023 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1639234347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SW 206 ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981664136",
            "telephone_number": "206-824-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SW 206 ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981664136",
            "telephone_number": "206-824-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUAL-BERKE",
        "first_name": "DANIEL",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD 00019954",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.