NPIMap

Individual provider Active NPI

Kelly Garneski Paulson, MD, PHD

  • Medical Oncology Physician
  • Edmonds, WA
National Provider Identifier
1659646115
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD60494102 Issued in WA
Practice address
21632 Highway 99
Edmonds, WA 98026
Phone
(425) 775-1677
Fax
(425) 778-1635
NPI assigned
Mar 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD60494102 WA Primary

Addresses

Primary practice location

21632 Highway 99
Edmonds, WA 98026

Mailing address

800 5TH Ave Ste 600
Seattle, WA 98104-3186
Phone (425) 775-1677

Other names 1

  • Kelly Mary Garneski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530003227 WA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1557686193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Washington School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

21632 Hwy 99
Edmonds, WA 98026-8032
Phone (425) 673-8300

Hospital & facility affiliations

  • Evergreen Health Hospice Care Hospice, Kirkland, WA, CCN 501523
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60494102WAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Internal Medicine CurrentSince Sep 30, 2019 Accepting new patients
Swedish Health Services CurrentSince Sep 30, 2019 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

21632 Highway 99
Edmonds, WA 98026
Phone (425) 673-8300

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

800 5th Ave
Ste 600
Seattle, WA 98104

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1659646115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 5TH AVE STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043186",
            "telephone_number": "425-775-1677",
            "fax_number": "425-778-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21632 HIGHWAY 99",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-775-1677",
            "fax_number": "425-778-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "KELLY",
        "middle_name": "GARNESKI",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD60494102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GARNESKI",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.