Individual provider Active NPI

Chad Ellermeier, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tukwila, WA
National Provider Identifier
1720306012
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD60546942 Issued in WA
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

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AK3 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
I20160802002600 WA Practitioner - Pathology 4587881990 Reassigns benefits to 2 organizations
I20260317001871 AZ Practitioner - Pathology 4587881990 Reassigns benefits to 1 organization
I20260521003402 AK Practitioner - Pathology 4587881990 Reassigns benefits to 1 organization

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 PLLCGroup PAC ID 8224062971, shared by 3 NPIs, 58 clinicians
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians

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 Hospital, Everett, WA, CCN 500014
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79344AZMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2016 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2016 Accepting new patients
The Polyclinic PLLC CurrentSince Feb 10, 2022 Accepting new patients
The Polyclinic CurrentSince Feb 10, 2022 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.