Individual provider Active NPI

Susan Amy Stern, MD

  • Emergency Medicine Physician
  • Seattle, WA
National Provider Identifier
1679503676
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60071165 Issued in WA
Practice address
1959 NE Pacific St.
Room NN 256
Seattle, WA 98195-6123
Phone
(206) 598-4000
Fax
(206) 598-4569
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60071165 WA Primary

Addresses

Primary practice location

1959 NE Pacific St.
Room NN 256
Seattle, WA 98195-6123

Mailing address

1959 NE Pacific St
University of Washington
Seattle, WA 98195-6123
Phone (206) 744-2121

Other identifiers 1

IdentifierTypeStateIssuer
0249344OtherWAL&I

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
I20090610000108 WA Practitioner - Emergency Medicine 5092878520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60071165WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harborview Medical Center CurrentSince Apr 27, 2009 Accepting new patients
The Association of University Physicians CurrentSince Dec 22, 2009 Accepting new patients
Harborview Medical Center CurrentSince Apr 27, 2009 Accepting new patients
University of Washington CurrentSince Jun 21, 2009 Accepting new patients
University of Washington CurrentSince Jun 21, 2009 Accepting new patients

Locations

1959 NE Pacific St
Rm Nn
Seattle, WA 98195
Phone (206) 598-4000

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1679503676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "UNIVERSITY OF WASHINGTON",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956123",
            "telephone_number": "206-744-2121",
            "fax_number": "206-744-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST.",
            "address_2": "ROOM NN 256",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956123",
            "telephone_number": "206-598-4000",
            "fax_number": "206-598-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "SUSAN",
        "middle_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60071165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0249344",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.