Individual provider Active NPI

Dean Nair, M.D.

  • Family Medicine Physician
  • Issaquah, WA
National Provider Identifier
1639481500
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60332752 Issued in WA
Practice address
5708 E Lake Sammamish Pkwy SE Ste 102
Issaquah, WA 98029-8942
Phone
(425) 688-5777
Fax
(425) 233-6268
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60332752 WA Primary

Addresses

Primary practice location

5708 E Lake Sammamish Pkwy SE Ste 102
Issaquah, WA 98029-8942

Mailing address

5708 E Lake Sammamish Pkwy SE Ste 102
Issaquah, WA 98029-8942
Phone (425) 688-5777

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000855 WA Practitioner - Family Practice 9638318884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5072

12800 Bothell Everett Hwy
Everett, WA 98208-6642

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

19200 N Kelsey St
Monroe, WA 98272-1431
Phone (360) 794-7994

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60332752WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jun 1, 2013 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Aug 23, 2021 Accepting new patients
Providence Health & Services - Washington CurrentSince Jun 1, 2013 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Mar 13, 2022 Accepting new patients
Radia Inc P S PastSince Mar 13, 2022 Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients

Locations

619 156th Ave SE
Bellevue, WA 98007
Phone (425) 637-3270

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076

6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777

5708 E Lake Sammamish Pkwy SE
Ste 102
Issaquah, WA 98029
Phone (425) 688-5488

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

17209 Redmond Way
Redmond, WA 98052
Phone (425) 635-6400

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1639481500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 E LAKE SAMMAMISH PKWY SE STE 102",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298942",
            "telephone_number": "425-688-5777",
            "fax_number": "425-233-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 E LAKE SAMMAMISH PKWY SE STE 102",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298942",
            "telephone_number": "425-688-5777",
            "fax_number": "425-233-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60332752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.