NPIMap

Individual provider Active NPI

Srujana Karlapalem

  • Physician Assistant
  • Bothell, WA
National Provider Identifier
1770912180
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60414723 Issued in WA
Practice address
10414 Beardslee Blvd # 100
Bothell, WA 98011-3205
Phone
(425) 486-0658
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA60414723 WA
Physician Assistant 363A00000X PA60414723 WA Primary

Addresses

Primary practice location

10414 Beardslee Blvd # 100
Bothell, WA 98011-3205

Mailing address

955 Powell Ave SW
Renton, WA 98057
Phone (425) 277-1311

Other practice location 1

12721 30th Ave NE Ste 101
Seattle, WA 98125-4498
Phone (206) 417-0326

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bothell.healthpoint.p3@direct.hpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311001703 WA Practitioner - Physician Assistant 5597995654 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Medical Clinic Inc.Group PAC ID 2163599663, 2 clinicians

Practice addresses (Care Compare)

148 Park Ave N
Renton, WA 98057-5719
Phone (425) 255-0055

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60414723WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Nov 4, 2013 Accepting new patients
Healthpoint Current Accepting new patients
Allcare Medical Clinic Inc. CurrentSince Aug 1, 2025 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Neighborcare Health Current Accepting new patients
Healthpoint Past Accepting new patients

Locations

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

148 Park Ave N
Renton, WA 98057
Phone (425) 255-0055

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1770912180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 BEARDSLEE BLVD # 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113205",
            "telephone_number": "425-486-0658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12721 30th Ave NE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981254498",
            "country_code": "US",
            "telephone_number": "206-417-0326",
            "fax_number": "206-417-0783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARLAPALEM",
        "first_name": "SRUJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60414723",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60414723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bothell.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "10414 Beardslee Blvd # 100",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980113205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.