NPIMap

Organization Active NPI

Seva Medical, PLLC

  • Internal Medicine Physician
  • Bellevue, WA
National Provider Identifier
1679264014
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SEVA MEDICAL, PLLC
Practice address
11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444
Phone
(888) 637-9669
Fax
(866) 497-2991
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Authorized official

Name
Dalveer Josan
Title
Owner
Phone
(206) 255-4415

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Addiction Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LA0401X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444

Mailing address

11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444
Phone (888) 637-9669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NM, OK, TX, ID, AZ, OR7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20230803002822 WA Part B Supplier - Clinic/Group Practice 0547621708 Receives reassigned benefits from 37 practitioners
Practice locations: Bellevue, WA
O20240524002755 NM Part B Supplier - Clinic/Group Practice 0547621708 Receives reassigned benefits from 6 practitioners
Practice locations: Albuquerque, NM
O20240528001487 OK Part B Supplier - Clinic/Group Practice 0547621708 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK
O20240528002092 TX Part B Supplier - Clinic/Group Practice 0547621708 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX
O20240708000846 ID Part B Supplier - Clinic/Group Practice 0547621708 Receives reassigned benefits from 5 practitioners
Practice locations: Coeur D Alene, ID
O20240710001077 AZ Part B Supplier - Clinic/Group Practice 0547621708 Receives reassigned benefits from 6 practitioners
Practice locations: Phoenix, AZ
O20240710001511 OR Part B Supplier - Clinic/Group Practice 0547621708 Receives reassigned benefits from 10 practitioners
Practice locations: Saint Helens, OR

National Provider Directory

National Provider Directory

Locations

210 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone (208) 664-2185

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727481600000",
    "number": "1679264014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NE 33RD PL STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041444",
            "telephone_number": "888-637-9669",
            "fax_number": "866-497-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NE 33RD PL STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041444",
            "telephone_number": "888-637-9669",
            "fax_number": "866-497-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVA MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A",
        "authorized_official_last_name": "JOSAN",
        "authorized_official_first_name": "DALVEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-255-4415"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.