Active NPI
William A Portuese, M.D.
- Otolaryngology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD00028539
- Practice address
- 1101 Madison St
Suite 1280
Seattle, WA 98104-3510 - Phone
- (206) 624-6200
- Fax
- (206) 624-0244
- NPI assigned
- Oct 7, 2005
- Last updated
- Jun 24, 2010
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD00028539 | WA | Primary |
Addresses
Primary practice location
1101 Madison St
Suite 1280
Seattle, WA 98104-3510
Mailing address
1101 Madison St
Suite 1280
Seattle, WA 98104-3510
Phone (206) 624-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8128381 | Medicaid | WA |
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
- Otolaryngology
- Education
- University of Oklahoma College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Madison St
Suite 1280
Seattle, WA 98104-3510
Phone (206) 624-6200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Associates Inc P S | Otolaryngology | Current | Accepting new patients |
| Aesthetic Associates Inc P S | Current | Accepting new patients |
Locations
1101 Madison St
Ste 1280
Seattle, WA 98104
Phone (206) 624-6200
1551 NW 54th St
Ste 101
Seattle, WA 98107
Phone (206) 789-1828
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Seattle Facial Plastic Surgery Center
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- Seattle, WA
- NPI 1053481960
Otolaryngology
-
dba Seattle Facial Plastic Surgery Center
- Ambulatory Surgical Clinic/Center
- Seattle, WA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1649268210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "SUITE 1280",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043510",
"telephone_number": "206-624-6200",
"fax_number": "206-624-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "SUITE 1280",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043510",
"telephone_number": "206-624-6200",
"fax_number": "206-624-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTUESE",
"first_name": "WILLIAM",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "MD00028539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8128381",
"state": "WA"
}
],
"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 24, 2010; 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.