Individual provider Active NPI

Alan Bunin, M.D.

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1700805397
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00010954 Issued in WA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1238005MedicaidWA

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
MD00010954WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology and Autoimmune Center PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.