Active NPI
Edward Aradanas Elchico, M.D.
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60954949
- Practice address
- 720 8TH Ave S Ste 2
Seattle, WA 98104-3032 - Phone
- (206) 788-3700
- NPI assigned
- Mar 29, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60954949 | WA | Primary |
Addresses
Primary practice location
720 8TH Ave S Ste 2
Seattle, WA 98104-3032
Mailing address
550 16TH Avenue #100
Swedish Family Medicine Residency Cherry Hill
Seattle, WA 98122-5699
Phone (206) 788-3700
Other practice location 1
550 16th Avenue #100
Swedish Family Medicine Residency Cherry Hill
Seattle, WA 98122-5699
Phone (206) 788-3700
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
- Family Practice
- Education
- Rush Medical College of Rush University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 8TH Ave S
Suite 100
Seattle, WA 98104-3033
Phone (206) 788-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60954949 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Community Health Services | Family Medicine | Current | Accepting new patients |
| International Community Health Services | Family Medicine | Current | Accepting new patients |
| International Community Health Services | Current | Accepting new patients |
Locations
3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500
550 16th Ave
Ste 100
Seattle, WA 98122
Phone (206) 299-1900
720 8th Ave S
Ste 2
Seattle, WA 98104
720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3770
Interoperability endpoints
- eelchico1041543@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1376659151
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Auburn, WA
- NPI 1831910439
-
- Federally Qualified Health Center (FQHC)
- Shoreline, WA
- NPI 1992124747
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1639601792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 16TH AVENUE #100",
"address_2": "SWEDISH FAMILY MEDICINE RESIDENCY CHERRY HILL",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225699",
"telephone_number": "206-788-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 8TH AVE S STE 2",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043032",
"telephone_number": "206-788-3700"
}
],
"practiceLocations": [
{
"address_1": "550 16th Avenue #100",
"address_2": "Swedish Family Medicine Residency Cherry Hill",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225699",
"country_code": "US",
"telephone_number": "206-788-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELCHICO",
"first_name": "EDWARD",
"middle_name": "ARADANAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60954949",
"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 Jun 18, 2020; 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.