Active NPI
Stacey S Donlan, MD
- Internal Medicine Physician
- Bellevue, WA
National Provider Identifier
1740358290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00032729
- Practice address
- 2950 Northup Way Ste 210
Bellevue, WA 98004-1406 - Phone
- (425) 284-3377
- Fax
- (425) 827-1040
- NPI assigned
- Dec 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00032729 | WA | Primary |
Addresses
Primary practice location
2950 Northup Way Ste 210
Bellevue, WA 98004-1406
Mailing address
2950 Northup Way Ste 210
Bellevue, WA 98004-1406
Phone (425) 284-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2950DO | Other | WA | REGENCE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00032729 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Health Medical Group 2, Inc. | Internal Medicine | Current | Accepting new patients |
| Overlake Internal Medicine Associates Inc PS | Internal Medicine | Past | Accepting new patients |
Locations
2950 Northup Way
Ste 210
Bellevue, WA 98004
Phone (425) 284-3377
Interoperability endpoints
- https://api.platform.athenahealth.com/10147/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124668660
WA
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1407896806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1740358290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 NORTHUP WAY STE 210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041406",
"telephone_number": "425-284-3377",
"fax_number": "425-827-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 NORTHUP WAY STE 210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041406",
"telephone_number": "425-284-3377",
"fax_number": "425-827-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONLAN",
"first_name": "STACEY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00032729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "2950DO",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.