Individual provider Active NPI

Judson Ryan Heugel, MD

  • Pediatrics Physician
  • Burien, WA
National Provider Identifier
1700042371
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD60511475 Issued in WA
Practice address
16233 Sylvester Rd SW Ste 230
Suite 230
Burien, WA 98166-3044
Phone
(206) 242-7822
NPI assigned
Aug 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0071995 MD
Pediatrics Physician 208000000X MD60511475 WA Primary

Addresses

Primary practice location

16233 Sylvester Rd SW Ste 230
Suite 230
Burien, WA 98166-3044

Mailing address

16233 Sylvester Rd SW Ste 230
Suite 230
Burien, WA 98166-3044
Phone (206) 242-7822

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
I20260514000217 WA Practitioner - Pediatric Medicine 1658549399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Oregon Health & Sciences Univ School of Dentistry, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8056 Jones Ave NW
Seattle, WA 98117-4353

PO Box
Suite 5299
Tacoma, WA 98415

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0071995MDMDPediatrics Physician
MD60511475WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seahurst Pediatrics PLLC Pediatrics PastSince Aug 28, 2012 Accepting new patients
Highline Internal Medicine PS Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1700042371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW STE 230",
            "address_2": "SUITE 230",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663044",
            "telephone_number": "206-242-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW STE 230",
            "address_2": "SUITE 230",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663044",
            "telephone_number": "206-242-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUGEL",
        "first_name": "JUDSON",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0071995",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60511475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.