Active NPI
Meghann Elizabeth Nelles-Dalstrom, MD
- Vascular Surgery Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD61427166
- Practice address
- 4011 Talbot Rd S Ste 430
Renton, WA 98055-5791 - Phone
- (425) 690-3498
- Fax
- (425) 690-9498
- NPI assigned
- Mar 25, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD61427166 | WA | Primary |
| Surgery Physician | 208600000X | 57.009514 | OH |
Addresses
Primary practice location
4011 Talbot Rd S Ste 430
Renton, WA 98055-5791
Mailing address
4011 Talbot Rd S Ste 430
Renton, WA 98055-5791
Phone (425) 690-3498
Other practice location 1
4011 Talbot Rd S Ste 300
Renton, WA 98055-5791
Phone (425) 656-5060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2277297 | Medicaid | WA |
Other names 1
- Meghann Elizabeth Nelles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Ohio State University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4011 Talbot Rd S
Suite 420
Renton, WA 98055-5791
Phone (425) 228-6076
Hospital & facility affiliations
- Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.009514 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Surgery | Current | Accepting new patients |
| Public Hospital District #1 of King County | Past | Accepting new patients | |
| Public Hospital District #1 of King County | Surgery | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
3600 Lind Ave SW
Ste 100
Renton, WA 98057
4011 Talbot Rd S
Ste 420
Renton, WA 98055
Phone (425) 251-1322
4011 Talbot Rd S
Ste 430
Renton, WA 98055
Phone (206) 575-4717
Interoperability endpoints
- mnellesdalstrom118693@direct.valleymed.org
Organizations & group practices 3
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.
-
- Surgery Physician
- Renton, WA
- NPI 1609932102
-
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1730206558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S STE 430",
"city": "RENTON",
"state": "WA",
"postal_code": "980555791",
"telephone_number": "425-690-3498",
"fax_number": "425-690-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S STE 430",
"city": "RENTON",
"state": "WA",
"postal_code": "980555791",
"telephone_number": "425-690-3498",
"fax_number": "425-690-9498"
}
],
"practiceLocations": [
{
"address_1": "4011 Talbot Rd S Ste 300",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555791",
"country_code": "US",
"telephone_number": "425-656-5060",
"fax_number": "425-656-5047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELLES-DALSTROM",
"first_name": "MEGHANN",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WA",
"license": "MD61427166",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "57.009514",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2277297",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHANN",
"last_name": "NELLES",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.