Individual provider Active NPI

Edward Aradanas Elchico, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1639601792
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60954949 Issued in WA
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

Updated by the provider on Jun 18, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909001456 WA Practitioner - Family Practice 9638449481 Reassigns benefits to 1 organization

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
International Community Health ServicesGroup PAC ID 5799695672, 95 clinicians

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

LicenseStateTypeSpecialty
MD60954949WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Community Health Services Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
International Community Health Services Family Medicine Current Accepting new patients
International Community Health Services CurrentSince Jul 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.