Individual provider Active NPI

Romina Cathy Dunnam, DO

  • Obstetrics & Gynecology Physician
  • Seattle, WA
National Provider Identifier
1780704023
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
U0475 Issued in TX
Practice address
5350 Tallman Ave NW Ste 420
Seattle, WA 98107-5902
Phone
(206) 781-6161
Fax
(206) 781-6285
NPI assigned
Mar 30, 2007
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OP60151339 WA
Obstetrics & Gynecology Physician 207V00000X U0475 TX Primary

Addresses

Primary practice location

5350 Tallman Ave NW Ste 420
Seattle, WA 98107-5902

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other identifiers 1

IdentifierTypeStateIssuer
1780704023MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdunnam1156300@direct.sw.org

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
I20101102000225 WA Practitioner - Obstetrics/Gynecology 5597959791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Washington PCGroup PAC ID 0345364642, 44 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (864) 908-3530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60151339WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Jun 8, 2024 Accepting new patients
King County Public Hospital District No 2 CurrentSince Jun 8, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Mar 18, 2024 Accepting new patients
King County Public Hospital District No. 2 Past Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Interoperability endpoints

  • Direct secure messaging: romina.dunnam.1@24528.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1780704023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 TALLMAN AVE NW STE 420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075902",
            "telephone_number": "206-781-6161",
            "fax_number": "206-781-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNAM",
        "first_name": "ROMINA",
        "middle_name": "CATHY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP60151339",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "U0475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780704023",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdunnam1156300@direct.sw.org",
            "affiliation": "N",
            "address_1": "5251 W Highway 290",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787358963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.