Active NPI
Derel Finch, MD
- Pulmonary Disease Physician
- Seattle, WA
National Provider Identifier
1669469136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD00036052
- Practice address
- 515 Minor Ave
#300
Seattle, WA 98104-2120 - Phone
- (206) 386-9500
- Fax
- (206) 386-9605
- NPI assigned
- Sep 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD00036052 | WA | Primary |
Addresses
Primary practice location
515 Minor Ave
#300
Seattle, WA 98104-2120
Mailing address
PO Box 3489
Seattle, WA 98114-3489
Phone (206) 386-9500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8Z76784 | Medicaid | WA | |
| MD5318W | Other | WA | ALASKA DSHS |
| 149626 | Other | WA | L AND I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 23, 2023 through Jun 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- derel.finch.1@28513.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1669469136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3489",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981143489",
"telephone_number": "206-386-9500",
"fax_number": "206-386-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MINOR AVE",
"address_2": "#300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042120",
"telephone_number": "206-386-9500",
"fax_number": "206-386-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINCH",
"first_name": "DEREL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD00036052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8Z76784",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALASKA DSHS",
"identifier": "MD5318W",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L AND I",
"identifier": "149626",
"state": "WA"
}
],
"endpoints": [],
"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 Dec 28, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.