Individual provider Active NPI

Kenneth Laurence Morton, M.D.

  • Ophthalmology Physician
  • Bellevue, WA
National Provider Identifier
1649457326
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
27312 Issued in WA
Practice address
14655 Bel Red Rd Ste 203
Bellevue, WA 98007-3900
Phone
(425) 562-6135
Fax
(425) 562-9085
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 27312 WA Primary

Addresses

Primary practice location

14655 Bel Red Rd Ste 203
Bellevue, WA 98007-3900

Mailing address

14655 Bel Red Rd Ste 203
Bellevue, WA 98007-3900
Phone (425) 562-6135

Other identifiers 1

IdentifierTypeStateIssuer
1101369MedicaidWA

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
I20080218000189 WA Practitioner - Ophthalmology 9830272616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Lake Bellevue Dr
Suite 105
Bellevue, WA 98005-2454
Phone (425) 562-6135

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27312WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth L P Morton MD PC Ophthalmology CurrentSince May 5, 1997 Accepting new patients

Locations

14655 NE Bel Red Rd
Ste 203
Bellevue, WA 98007
Phone (425) 403-9991

9 Lake Bellevue Dr
Ste 105
Bellevue, WA 98005
Phone (425) 562-6135

Organizations & group practices 1

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1649457326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14655 BEL RED RD STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073900",
            "telephone_number": "425-562-6135",
            "fax_number": "425-562-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14655 BEL RED RD STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073900",
            "telephone_number": "425-562-6135",
            "fax_number": "425-562-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "KENNETH",
        "middle_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "27312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101369",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.