Individual provider Active NPI

Tina Shereen, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1760475511
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00043759 Issued in WA
Practice address
2101 E Yesler Way # 210
Seattle, WA 98122-5959
Phone
(206) 299-1937
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00043759 WA Primary

Addresses

Primary practice location

2101 E Yesler Way # 210
Seattle, WA 98122-5959

Mailing address

2101 E Yesler Way # 210
Seattle, WA 98122-5959
Phone (206) 299-1937

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825000906 WA Practitioner - Family Practice 7315911286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Roots Community HealthGroup PAC ID 8628966173, 50 clinicians

Practice addresses (Care Compare)

2101 E Yesler Way
Suite 150
Seattle, WA 98122-5959
Phone (206) 299-1900

500 19TH Ave E
Seattle, WA 98112-4007
Phone (208) 299-1600

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Roots Community Health Current Accepting new patients
Seattle Roots Community Health Family Medicine CurrentSince Apr 13, 2011 Accepting new patients
Seattle Roots Community Health Family Medicine CurrentSince Apr 13, 2011 Accepting new patients
Seattle Roots Community Health Past Accepting new patients

Locations

2101 E Yesler Way
#210
Seattle, WA 98122
Phone (206) 299-1937

500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600

2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900

301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190

Interoperability endpoints

  • Direct secure messaging: tshereen272593@direct.ochin.org

Organizations & group practices 4

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 2

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1760475511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY # 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-299-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY # 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-299-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEREEN",
        "first_name": "TINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00043759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.