Individual provider Active NPI

Jonathan Aaron Kullnat, M.D.

  • Neuroradiology Physician
  • Lynnwood, WA
National Provider Identifier
1700981966
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
C175165 Issued in CA
Practice address
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X C175165 CA Primary
Neuroradiology Physician 2085N0700X MD60209727 WA
Diagnostic Radiology Physician 2085R0202X MD60209727 WA
Diagnostic Radiology Physician 2085R0202X RT 1621 NH
Diagnostic Radiology Physician 2085R0202X 4301505566 MI

Addresses

Primary practice location

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

747 52nd St
Oakland, CA 94609-1809
Phone (510) 428-3000

Other practice location 2

4660 S Hagadorn Rd Ste 410
East Lansing, MI 48823-6819
Phone (517) 353-5053

Other practice location 3

3220 Discovery Dr Ste 100
Lansing, MI 48910-8609
Phone (517) 975-8930

Other practice location 4

4660 S Hagadorn Rd Ste 510
East Lansing, MI 48823-6805
Phone (517) 353-5053

Other identifiers 1

IdentifierTypeStateIssuer
2013241MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110726000478 WA Practitioner - Diagnostic Radiology 3870761430 Reassigns benefits to 10 organizations
I20250507000181 CA Practitioner - Diagnostic Radiology 3870761430 Reassigns benefits to 3 organizations
I20250614000247 MI Practitioner - Diagnostic Radiology 3870761430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Pet-CT Imaging at Swedish Cancer Institute LLCGroup PAC ID 5092736884, 14 clinicians
Radia Imaging Center Holdings LLCGroup PAC ID 6305182965, 43 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

Edmonds, WA 98026
Phone (501) 664-3914

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1221 Madison St
Suite 150
Seattle, WA 98104-1385
Phone (206) 215-6487

1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

5708 E Lake Samm Pkwy SE
Issaquah, WA 98029-8942
Phone (425) 563-1500

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

9121 NE 17TH St
Clyde Hill, WA 98004-3239
Phone (425) 563-1500

Hospital & facility affiliations

  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C175165CAMDNeuroradiology Physician
MD60209727WAMDNeuroradiology Physician
4301505566MIMDDiagnostic Radiology Physician
RT 1621NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish First Hill Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Feb 20, 2013 Accepting new patients
County of Santa Clara CurrentSince Apr 1, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 26, 2023 Accepting new patients
Msu Health Care Inc Current Accepting new patients
County of Santa Clara CurrentSince Apr 1, 2025 Accepting new patients
Msu Health Care Inc. CurrentSince Jun 1, 2025 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Msu Health Care Inc. Neuroradiology CurrentSince Jun 1, 2025 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Aug 12, 2025 Accepting new patients
Optum Care Washington PLLC Current Accepting new patients
County of Santa Clara Current Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 26, 2023 Accepting new patients
Radia Inc P S Diagnostic Radiology Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations (25 of 46)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

4660 S Hagadorn Rd
Ste 510
East Lansing, MI 48823
Phone (517) 884-7450

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

1200 112th Ave NE
Ste B250
Bellevue, WA 98004
Phone (206) 386-6266

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

5708 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 688-5488

12303 NE 130th Ln
Ste 400
Kirkland, WA 98034
Phone (425) 450-7007

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 7

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1700981966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 52nd St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946091809",
            "country_code": "US",
            "telephone_number": "510-428-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236819",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Discovery Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108609",
            "country_code": "US",
            "telephone_number": "517-975-8930",
            "fax_number": "517-337-4985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236805",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULLNAT",
        "first_name": "JONATHAN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "C175165",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD60209727",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60209727",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "RT  1621",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301505566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013241",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.