Individual provider Active NPI

Henna Amber Shaikh, MD

  • Pediatrics Physician
  • Seattl, WA
National Provider Identifier
1699204669
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD61071338 Issued in WA
Practice address
4800 Sand Point Way NE, M/S Fa.2.113
ICU Administration; Neonatology Dept Seattle Children'
Seattl, WA 98105
Phone
(206) 987-2675
NPI assigned
Jun 5, 2017
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD61071338 WA Primary

Addresses

Primary practice location

4800 Sand Point Way NE, M/S Fa.2.113
ICU Administration; Neonatology Dept Seattle Children'
Seattl, WA 98105

Mailing address

4800 Sand Point Way NE, M/S Fa.2.113
ICU Administration; Neonatology Dept Seattle Children'
Seattl, WA 98105
Phone (206) 987-2675

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
I20200826000343 WA Practitioner - Pediatric Medicine 8729350392 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61071338WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital CurrentSince Aug 19, 2020 Accepting new patients
Seattle Childrens Hospital CurrentSince Aug 19, 2020 Accepting new patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince Aug 19, 2020 Accepting new patients
Association of CHMC and University Physicians Pediatrics CurrentSince Aug 19, 2020 Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

4800 Sand Point Way NE
#2113
Seattle, WA 98105
Phone (206) 987-2675

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

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.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1699204669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE, M/S FA.2.113",
            "address_2": "ICU ADMINISTRATION; NEONATOLOGY DEPT SEATTLE CHILDREN'",
            "city": "SEATTL",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-987-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE, M/S FA.2.113",
            "address_2": "ICU ADMINISTRATION; NEONATOLOGY DEPT SEATTLE CHILDREN'",
            "city": "SEATTL",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-987-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "HENNA",
        "middle_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61071338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.