Active NPI
Alipi Vesselinov Naydenov Bonm, MD PHD
- Neurology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD60870931
- Practice address
- 550 17TH Ave Ste 540
Seattle, WA 98122-4470 - Phone
- (206) 320-2300
- NPI assigned
- Mar 22, 2016
- Last updated
- Aug 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD60870931 | WA | Primary |
Addresses
Primary practice location
550 17TH Ave Ste 540
Seattle, WA 98122-4470
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2060210 | Medicaid | WA |
Other names 1
- Alipi Naydenov
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
550 17TH Ave
Suite 540
Seattle, WA 98122-4470
Phone (206) 386-3880
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
550 17th Ave
Ste 540
Seattle, WA 98122
Phone (206) 386-3880
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Interoperability endpoints
- abonm2858525@wm.providencedirect.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
dba PMG NW Wa
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
dba PMG NW WA In Home Primary Care/Clearview
- General Practice Physician
- Snohomish, WA
- NPI 1770877227
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Olympic Medical Center
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
dba Swedish Medical Center, Cherry Hill
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1699137570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 17TH AVE STE 540",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224470",
"telephone_number": "206-320-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONM",
"first_name": "ALIPI",
"middle_name": "VESSELINOV NAYDENOV",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2023-08-09",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD60870931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2060210",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALIPI",
"last_name": "NAYDENOV",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.