NPIMap

Individual provider Active NPI

Nikolas Borak

  • Physician Assistant
  • Tukwila, WA
National Provider Identifier
1699324830
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
17275 Southcenter Pkwy Ste 160
Tukwila, WA 98188-3336
Phone
(206) 430-7555
Fax
(206) 575-7816
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

17275 Southcenter Pkwy Ste 160
Tukwila, WA 98188-3336

Mailing address

3720 SW 170TH St
Burien, WA 98166-3156
Phone (407) 470-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210122002755 WA Practitioner - Physician Assistant 1850705328 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500

80 SW 2ND St
Renton, WA 98057-5937
Phone (877) 883-9430

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 24, 2025 Accepting new patients
Multicare Health System CurrentSince Jan 6, 2021 Accepting new patients
Altea Medical Washington PLLC CurrentSince Feb 23, 2026 Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince Apr 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Apr 1, 2021 Accepting new patients
Post Acute Medical PLLC CurrentSince Feb 23, 2026 Accepting new patients
Multicare Health System Physician Assistant CurrentSince Jan 6, 2021 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

80 SW 2nd St
Renton, WA 98057
Phone (425) 226-4510

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: nborak61909@skagit.direct-ci.com
  • Direct secure messaging: nborak434589@direct.multicare.org

Organizations & group practices 11

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 2

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1699324830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SW 170TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663156",
            "telephone_number": "407-470-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17275 SOUTHCENTER PKWY STE 160",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883336",
            "telephone_number": "206-430-7555",
            "fax_number": "206-575-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAK",
        "first_name": "NIKOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.