Active NPI
Alan Bunin, M.D.
- Family Medicine Physician
- Bellevue, WA
National Provider Identifier
1700805397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00010954
- Practice address
- 14100 SE 36TH St Ste 106
Bellevue, WA 98006-1657 - Phone
- (425) 453-9485
- Fax
- (425) 688-9228
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00010954 | WA | Primary |
Addresses
Primary practice location
14100 SE 36TH St Ste 106
Bellevue, WA 98006-1657
Mailing address
14100 SE 36TH St Ste 106
Bellevue, WA 98006-1657
Phone (425) 453-9485
Other practice location 1
12443 Bel Red Rd
Suite 390
Bellevue, WA 98005-2534
Phone (425) 453-9485
Other practice location 2
12443 Bel Red Rd
Suite 390
Bellevue, WA 98005-2534
Phone (425) 453-9485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1238005 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00010954 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatology and Autoimmune Center PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/16698/brand/1/csg/1/fhir/r4
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.
-
- Infusion Therapy Clinic/Center
- Bellevue, WA
- NPI 1184150344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1700805397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 SE 36TH ST STE 106",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061657",
"telephone_number": "425-453-9485",
"fax_number": "425-688-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 SE 36TH ST STE 106",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061657",
"telephone_number": "425-453-9485",
"fax_number": "425-688-9228"
}
],
"practiceLocations": [
{
"address_1": "12443 Bel Red Rd",
"address_2": "Suite 390",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980052534",
"country_code": "US",
"telephone_number": "425-453-9485",
"fax_number": "425-688-9228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12443 Bel Red Rd",
"address_2": "Suite 390",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980052534",
"country_code": "US",
"telephone_number": "425-453-9485",
"fax_number": "425-688-9228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNIN",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00010954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1238005",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.