Active NPI
Myra Horiuchi, M.D.
- Family Medicine Physician
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00035077
- Practice address
- 7315 212TH St SW
Edmonds, WA 98026-7610 - Phone
- (425) 775-9474
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- 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 | 00035077 | WA | Primary |
Addresses
Primary practice location
7315 212TH St SW
Edmonds, WA 98026-7610
Mailing address
1145 Broadway FL 2
Seattle, WA 98122-4201
Phone (206) 860-5414
Other practice location 1
904 7th Ave
Seattle, WA 98104-1132
Phone (206) 329-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8227282 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100830000029 | WA | Practitioner - Family Practice | 4880718741 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Outpatient Services IncSelect Rehabilitation, LLCThe Polyclinic PLLC
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 309-1760
Hospital & facility affiliations
- Swedish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00035077 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Family Medicine | Past | Accepting new patients |
| Peninsula Cancer Center LLC | Past | Accepting new patients |
Locations
7315 212th St SW
Ste 101
Edmonds, WA 98026
Phone (425) 670-3550
7315 212th St SW
Edmonds, WA 98026
Phone (425) 252-8375
1145 Broadway
Seattle, WA 98122
1145 Broadway
Fl 2
Seattle, WA 98122
Phone (206) 860-3509
904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487
Interoperability endpoints
- mhoriuchi49100@direct.tecmc.com
Organizations & group practices 7
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.
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1073944039
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1962506618
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Family Medicine
-
- Radiation Oncology Physician
- Poulsbo, WA
- NPI 1083857940
-
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
- NPI 1346620200
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1649376237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BROADWAY FL 2",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224201",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 212TH ST SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267610",
"telephone_number": "425-775-9474"
}
],
"practiceLocations": [
{
"address_1": "904 7th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981041132",
"country_code": "US",
"telephone_number": "206-329-1760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORIUCHI",
"first_name": "MYRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "00035077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8227282",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.