Individual provider Active NPI

William A Portuese, M.D.

  • Otolaryngology Physician
  • Seattle, WA
National Provider Identifier
1649268210
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD00028539 Issued in WA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8128381MedicaidWA

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
I20070719000019 WA Practitioner - Otolaryngology 5092761288 Reassigns benefits to 1 organization

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
Aesthetic Associates Inc P SGroup PAC ID 7618867193, 2 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 1280
Seattle, WA 98104-3510
Phone (206) 624-6200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Associates Inc P S Otolaryngology CurrentSince Sep 1, 2007 Accepting new patients
Aesthetic Associates Inc P S CurrentSince Aug 1, 1991 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.

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

Verify at the official NPI Registry.