Active NPI
Chad Ellermeier, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Tukwila, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD60546942
- Practice address
- 12501 E Marginal Way S Ste 200
Tukwila, WA 98168-5163 - Phone
- (206) 576-6050
- NPI assigned
- May 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 79344 | AZ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD60546942 | WA | Primary |
Addresses
Primary practice location
12501 E Marginal Way S Ste 200
Tukwila, WA 98168-5163
Mailing address
1959 NE Pacific St
Box 357470
Seattle, WA 98195-6422
Phone (206) 616-9343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AZ, AK
- 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
- Pathology
- Education
- Northwestern University Feinberg Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cellnetix Pathology PLLC
Practice addresses (Care Compare)
1124 Columbia St
Suite 200
Seattle, WA 98104-2048
Phone (206) 386-2676
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (844) 344-4209
2490 S Woodworth Loop
Suite 410
Palmer, AK 99645-7411
Phone (807) 745-8100
904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 309-1760
Hospital & facility affiliations
- Providence Regional Medical Center Everett
- Swedish Medical Center
- Swedish Edmonds Hospital
- St. Mary'S Hospital
- Capital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79344 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cellnetix Pathology, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Cellnetix Pathology, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Polyclinic | Current | Accepting new patients |
Locations
2490 S Woodworth Loop
Ste 410
Palmer, AK 99645
Phone (807) 745-8100
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487
1145 Broadway
Seattle, WA 98122
1124 Columbia St
Ste 200
Seattle, WA 98104
Phone (206) 576-6050
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
12501 E Marginal Way S
Ste 200
Tukwila, WA 98168
Phone (206) 576-6050
Interoperability endpoints
- https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Anatomic Pathology & Clinical Pathology Physician
- Everett, WA
- NPI 1356310866
-
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
- NPI 1598624207
-
- Anatomic Pathology & Clinical Pathology Physician
- Palmer, AK
- NPI 1508129628
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1073944039
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
-
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265818488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1720306012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "BOX 357470",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981956422",
"telephone_number": "206-616-9343",
"fax_number": "206-543-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 E MARGINAL WAY S STE 200",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981685163",
"telephone_number": "206-576-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLERMEIER",
"first_name": "CHAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "79344",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD60546942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.