David Phipps Pomeroy, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15957 Issued in WA

Practice address

2000 116TH Ave NE Ste 6
Bellevue, WA 98004-3047

Phone

(425) 454-8684

Fax

(206) 339-5465

NPI assigned

May 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 24, 2015 through Mar 24, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBJBBD/Endpoint/BBJBBD

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.

• David P Pomeroy MD PS

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1346235173
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1760701528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 116TH AVE NE STE 6",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043047",
            "telephone_number": "425-454-8684",
            "fax_number": "206-339-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 116TH AVE NE STE 6",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043047",
            "telephone_number": "425-454-8684",
            "fax_number": "206-339-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "DAVID",
        "middle_name": "PHIPPS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00015957",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "15957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1608702",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Pollard
• Antonela Polotanu, DDS
• Natalie Polzen, FNP
• Kevin L Polzin, DC
• Frances Marian Pomerantz, LMFT
• Kathryn Ponio
• Corrin M Ponte, RN, BSN
• Dawn Ponton
• Jonathon David Pontrello, L. AC.
• Molly Poole

• General Practice Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.