Organization Active NPI

Seattle LTC Consultants PLLC

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1639877285
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SEATTLE LTC CONSULTANTS PLLC
Practice address
1329 N 47TH St Unit 31861
Seattle, WA 98103-6891
Phone
(206) 406-7360
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Jaime Novais, MDNPI 1396732863
Title
Owner/Provider
Phone
(206) 406-7360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1329 N 47TH St Unit 31861
Seattle, WA 98103-6891

Mailing address

1329 N 47TH St Unit 31861
Seattle, WA 98103-6891
Phone (206) 406-7360

Other identifiers 1

IdentifierTypeStateIssuer
8140766MedicaidWA

Other names 1

  • Seattle LTC Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230316000712 WA Part B Supplier - Clinic/Group Practice 6204200132 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1329 N 47th St
Unit 31861
Seattle, WA 98103
Phone (206) 406-7360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1639877285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 N 47TH ST UNIT 31861",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036891",
            "telephone_number": "206-406-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 N 47TH ST UNIT 31861",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036891",
            "telephone_number": "206-406-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE LTC CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "NOVAIS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "206-406-7360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8140766",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle LTC Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.