Individual provider Active NPI

Andrea Adelyne Marshall, DO

  • Internal Medicine Physician
  • Redmond, WA
National Provider Identifier
1699096826
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP60393547 Issued in WA
Practice address
15446 Bel Red Rd Ste 320
Redmond, WA 98052-5507
Phone
(425) 867-9700
Fax
(425) 867-5300
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP60393547 WA Primary

Addresses

Primary practice location

15446 Bel Red Rd Ste 320
Redmond, WA 98052-5507

Mailing address

15446 Bel Red Rd Ste 320
Redmond, WA 98052-5507

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
I20150526002580 WA Practitioner - Internal Medicine 0941520316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15446 Bel Red Rd
Suite 320
Redmond, WA 98052-5507
Phone (425) 867-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60393547WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eylan Health Inc., P.S. Internal Medicine CurrentSince Jan 31, 2015 Accepting new patients

Locations

15446 Bel Red Rd
Ste 320
Redmond, WA 98052
Phone (425) 867-9700

Organizations & group practices 1

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1699096826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE 320",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE 320",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525507",
            "telephone_number": "425-867-9700",
            "fax_number": "425-867-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ANDREA",
        "middle_name": "ADELYNE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP60393547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.