Active NPI
David Alan Lundin, MD
- Neurological Surgery Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD00041960
- Practice address
- 4033 Talbot Rd S
Ste 520
Renton, WA 98055-5772 - Phone
- (425) 917-6209
- Fax
- (425) 656-5596
- NPI assigned
- May 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD00041960 | WA | Primary |
Addresses
Primary practice location
4033 Talbot Rd S
Ste 520
Renton, WA 98055-5772
Mailing address
PO Box 34876
Renton, WA 98055
Phone (425) 656-5412
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Washington School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4033 Talbot Rd S
Suite 520
Renton, WA 98055-5774
Phone 42565655662
Hospital & facility affiliations
- Evergreenhealth Home Care Services
- Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 73 |
| Laminectomy or laminotomy (partial removal of spine bones) | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00041960 | WA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Neurological Surgery | Current | Accepting new patients |
| Public Hospital District 1 of King County | Past | Accepting new patients | |
| Public Hospital District 1 of King County | Past | Accepting new patients | |
| Bourget Health Services Inc | Past | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
7203 129th Ave SE
#100
Newcastle, WA 98056
Phone (425) 656-5406
4033 Talbot Rd S
Ste 520
Renton, WA 98055
Phone (425) 255-1999
3915 Talbot Rd S
Ste 200
Renton, WA 98055
Phone (425) 658-5566
3600 Lind Ave SW
Ste 100
Renton, WA 98057
3915 Talbot Rd S
Ste 401
Renton, WA 98055
Phone (425) 656-4224
Interoperability endpoints
- dlundin5854@direct.valleymed.org
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
Neurological Surgery
-
- Clinical Medical Laboratory
- Spokane, WA
- NPI 1033117338
-
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- Institutional Pharmacy
- Renton, WA
- NPI 1679862189
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kirkland, WA
- NPI 1588662761
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1790722692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34876",
"city": "RENTON",
"state": "WA",
"postal_code": "98055",
"telephone_number": "425-656-5412",
"fax_number": "425-656-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S",
"address_2": "STE 520",
"city": "RENTON",
"state": "WA",
"postal_code": "980555772",
"telephone_number": "425-917-6209",
"fax_number": "425-656-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDIN",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WA",
"license": "MD00041960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.