Individual provider Active NPI

Andrew Appelbaum, MD

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1669565081
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00033120 Issued in WA
Practice address
1370 116TH Ave NE Ste 206
Bellevue, WA 98004-3825
Phone
(425) 378-8190
NPI assigned
Sep 30, 2006
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00033120 WA Primary

Addresses

Primary practice location

1370 116TH Ave NE Ste 206
Bellevue, WA 98004-3825

Mailing address

4950 Communication Ave Ste 100
Boca Raton, FL 33431-3308
Phone (561) 982-4300

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
I20100812000710 WA Practitioner - Family Practice 3476444613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1370 116TH Ave NE
Suite 206
Bellevue, WA 98004-3825
Phone (425) 378-8190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00033120WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Value in Prevention of Washington PLLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

4950 Communication Ave
Ste 100
Boca Raton, FL 33431
Phone (561) 982-4300

1370 116th Ave NE
Ste 206
Bellevue, WA 98004
Phone (425) 450-0565

Interoperability endpoints

  • Direct secure messaging: andrew.appelbaum.1@29805.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1669565081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313308",
            "telephone_number": "561-982-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE STE 206",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043825",
            "telephone_number": "425-378-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPELBAUM",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00033120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.