Individual provider Active NPI

Colin Marcus Cortado, PAC

  • Medical Physician Assistant
  • Seattle, WA
National Provider Identifier
1679303192
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61609322 Issued in WA
Practice address
4755 Fauntleroy Way SW Ste 110
Seattle, WA 98116-4669
Phone
(206) 923-3760
Fax
(206) 923-3799
NPI assigned
Aug 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61609322 WA
Medical Physician Assistant 363AM0700X PA61609322 WA Primary

Addresses

Primary practice location

4755 Fauntleroy Way SW Ste 110
Seattle, WA 98116-4669

Mailing address

4755 Fauntleroy Way SW Ste 110
Seattle, WA 98116-4669
Phone (206) 923-3760

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028002893 WA Practitioner - Physician Assistant 1658804737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

4755 Fauntleroy Way SW
Suite 110
Seattle, WA 98116-4669
Phone (206) 201-0551

Hospital & facility affiliations

  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Highline Medical Center Hospital, Burien, WA, CCN 500011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1679303192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 FAUNTLEROY WAY SW STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164669",
            "telephone_number": "206-923-3760",
            "fax_number": "206-923-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 FAUNTLEROY WAY SW STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164669",
            "telephone_number": "206-923-3760",
            "fax_number": "206-923-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTADO",
        "first_name": "COLIN",
        "middle_name": "MARCUS",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61609322",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61609322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.