Active NPI
Jeremy Michael Roseberry, MD
- Emergency Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00040867
- Practice address
- 201 16TH Ave E
Seattle, WA 98112-5226 - Phone
- (206) 326-3000
- NPI assigned
- May 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00040867 | WA | Primary |
| Emergency Medicine Physician | 207P00000X | 35C.002978 | OH |
Addresses
Primary practice location
201 16TH Ave E
Seattle, WA 98112-5226
Mailing address
201 16TH Ave E
Seattle, WA 98112-5226
Phone (206) 326-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8324147 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OH, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York Medical College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 753-1362
914 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-2803
Hospital & facility affiliations
- Providence Centralia Hospital
- Scripps Memorial Hospital - Encinitas
- Summa Western Reserve Hospital
- Swedish Medical Center
- Adventist Health Ukiah Valley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35C.002978 | OH | MD | Emergency Medicine Physician |
| MD00040867 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| North Sound Emergency Medicine PC | Emergency Medicine | Current | Accepting new patients |
| Eastside Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Encinitas Emergency Medicine, Inc. | Emergency Medicine | Current | Accepting new patients |
| WRH Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251
3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372
1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685
914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516
916 Pacific Ave
#1S
Everett, WA 98201
Phone (425) 258-7390
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
1700 13th St
Everett, WA 98201
Phone (425) 252-0895
11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000
751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
18100 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (206) 320-5190
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Emergency Medicine Physician
- Encinitas, CA
- NPI 1598362568
-
- Emergency Medicine Physician
- Issaquah, WA
- NPI 1689683229
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1114937919
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1922303478
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- General Acute Care Hospital
- Cuyahoga Falls, OH
- NPI 1518104199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1669424149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 16TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125226",
"telephone_number": "206-326-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 16TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125226",
"telephone_number": "206-326-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEBERRY",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00040867",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35C.002978",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8324147",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "201 16th Ave E",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981125226",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 6, 2026; 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.