Individual provider Active NPI

Bart Patrick Keogh, M.D.

  • Diagnostic Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1669489472
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00040084 Issued in WA
Practice address
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4746
Phone
(425) 563-1500
Fax
(425) 563-1374
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 49

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.

View all 49

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Perelman School of Med at the University of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Washington Health Services Association 708 clinicians
Radia Inc P S 275 clinicians

Practice addresses (Care Compare)

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800

920 Broadway E
Seattle, WA 98102-4529
Phone (425) 563-1500

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20061016000409 WA Practitioner - Diagnostic RadiologyPractitioner - General Surgery 4880690700 Reassigns benefits to 17 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025209WAMDOphthalmology Physician
S-7976AKMDDiagnostic Radiology Physician
MD00040084WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 4 King County Washington CurrentSince Apr 16, 2007 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Public Hospital District No 4 King County Washington Current Accepting new patients
Swedish Health Services CurrentSince Apr 17, 2022 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Apr 16, 2007 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jan 10, 2018 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jul 21, 2013 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Dec 26, 2010 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Swedish Health Services CurrentSince Oct 1, 2015 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2011 Accepting new patients
Swedish Health Services CurrentSince Apr 17, 2022 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Apr 16, 2007 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Apr 16, 2007 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Apr 29, 2009 Accepting new patients
Swedish Health Services CurrentSince Oct 1, 2015 Accepting new patients
Swedish Health Services CurrentSince Oct 1, 2015 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Clallam County Public Hospital District No 1 Past Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients
Swedish Medical Center-Radia Issaquah Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Okanogan County Public Hospital Dist No 4 Past Accepting new patients

Locations (25 of 39)

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

303 Cottage Ave
Cashmere, WA 98815
Phone (509) 782-1541

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

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

728 134th St SW
Ste 120
Everett, WA 98204
Phone (425) 741-7500

2005 NW Sammamish Rd
#B150
Issaquah, WA 98027
Phone (425) 394-0650

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

840 E Hill Ave
Moses Lake, WA 98837
Phone (509) 764-6400

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

916 Koala Dr
Omak, WA 98841
Phone (509) 826-1800

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

911 N 10th Pl
Renton, WA 98057
Phone (425) 391-5700

916 N 10th Pl
Renton, WA 98057
Phone (425) 391-5800

1600 E Jefferson St
Ste 300
Seattle, WA 98122
Phone (206) 386-2677

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

550 17th Ave
Fl 5
Seattle, WA 98122
Phone (206) 386-3880

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00040084 WA Primary
Diagnostic Radiology Physician 2085R0202X S-7976 AK
Neuroradiology Physician 2085N0700X S-7976 AK
Neuroradiology Physician 2085N0700X MD00040084 WA

Addresses

NPPES NPI Registry

Primary practice location

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4746

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
218043OtherWALNI PROVIDER ID
218046OtherWALNI PROVIDER ID
218040OtherWALNI PROVIDER ID
1007471MedicaidAK
8288359MedicaidWA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2026.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1669489472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364746",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEOGH",
        "first_name": "BART",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00040084",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "S-7976",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AK",
            "license": "S-7976",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD00040084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI PROVIDER ID",
            "identifier": "218043",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI PROVIDER ID",
            "identifier": "218046",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI PROVIDER ID",
            "identifier": "218040",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007471",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8288359",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.