Active NPI
Jonathan Aaron Kullnat, M.D.
- Neuroradiology Physician
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- C175165
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013241 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Providence Regional Medical Center Everett
- Swedish Medical Center / Cherry Hill
- Evergreenhealth Medical Center
- Swedish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C175165 | CA | MD | Neuroradiology Physician |
| MD60209727 | WA | MD | Neuroradiology Physician |
| 4301505566 | MI | MD | Diagnostic Radiology Physician |
| RT 1621 | NH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish First Hill Diagnostic Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Msu Health Care Inc. | Neuroradiology | Current | Accepting new patients |
| Radia Oregon Radiology Medical Group LLC | Diagnostic Radiology | Current | Accepting new patients |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Diagnostic Radiology Physician
- Medford, OR
- NPI 1073385423
WA
-
- Diagnostic Radiology Physician
- Kirkland, WA
- NPI 1922095694
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1013920644
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1932196607
-
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1902990500
-
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
-
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
-
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.