NPIMap

Kathrin Leanne Ahl, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Lynnwood, WA

NPI 1790747863 · NPPES record last updated Apr 11, 2017

Key facts

NPI
1790747863
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
MD00039741 (WA)
Practice address
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 41

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.

View all 41

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pet-CT Imaging at Swedish Cancer Institute LLC (14 clinicians)
Radia Imaging Center Holdings LLC (43 clinicians)
Swedish Health Services (156 clinicians)
Swedish Health Services (1,038 clinicians)
Swedish Radia Imaging Center at Edmonds LLC (115 clinicians)
Radia Inc P S (275 clinicians)
Optum Care Washington PLLC (684 clinicians)

Practice addresses (Care Compare)

1221 Madison St
Suite 150
Seattle, WA 98104-1385
Phone (206) 215-6487

1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

1600 E Jefferson St
Suite 300
Seattle, WA 98122-5645
Phone (206) 386-2677

18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2030

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5455

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 339-3930

Hospital & facility affiliations

  • Swedish Edmonds Hospital Hospital · Edmonds, WA · CCN 500026
  • Swedish Issaquah Hospital · Issaquah, WA · CCN 500152
  • Providence Regional Medical Center Everett Hospital · Everett, WA · CCN 500014
  • Swedish Medical Center Hospital · Seattle, WA · CCN 500027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040403000198 WA Practitioner - Diagnostic Radiology 8527051978 Reassigns benefits to 10 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Inc P S Diagnostic Radiology Current
since Jan 1, 2017		 Accepting new patients
Swedish Health Services Current
since Jul 1, 2014		 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology Current
since Jan 1, 2017		 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology Current
since Jan 1, 2017		 Accepting new patients
Pet-CT Imaging at Swedish Cancer Institute LLC Diagnostic Radiology Current
since May 1, 2021		 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology Current
since Jun 1, 2019		 Accepting new patients
Radia Inc P S Diagnostic Radiology Current
since Jan 1, 2017		 Accepting new patients
The Polyclinic PLLC Current
since Feb 1, 2014		 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology Current
since Jan 1, 2019		 Accepting new patients
The Polyclinic PLLC Current
since Feb 1, 2014		 Accepting new patients
Swedish Health Services Current
since Jul 1, 2014		 Accepting new patients
Optum Care Washington PLLC Current
since Jul 1, 2019		 Accepting new patients
Swedish Health Services Current
since Feb 20, 2020		 Accepting new patients
Optum Care Washington PLLC Current
since Jul 1, 2019		 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology Current
since Jan 1, 2019		 Accepting new patients
Multicare Health System Past Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients
Swedish First Hill Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 98)

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

19 N 7th St
Cheney, WA 99004
Phone (509) 235-6151

11245 State Route 525
Clinton, WA 98236
Phone (360) 341-5252

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424

20 E J St
Deer Park, WA 99006
Phone (509) 276-8012

7320 216th St SW
Ste 120
Edmonds, WA 98026
Phone (425) 673-3930

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3216 Norton Ave
Ste 201
Everett, WA 98201
Phone (425) 258-4624

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

728 134th St SW
Ste 120
Everett, WA 98204
Phone (425) 741-7500

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

3726 Broadway
Ste 201
Everett, WA 98201
Phone (425) 317-9119

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

12303 NE 130th Ln
Ste 120
Kirkland, WA 98034
Phone (425) 899-3181

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00039741 WA Yes

Addresses

Primary practice location

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers

IdentifierTypeStateIssuer
1019015MedicaidWA
8313962MedicaidWA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 11, 2017.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1790747863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHL",
        "first_name": "KATHRIN",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00039741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019015",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8313962",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

All providers in Lynnwood, WA · Diagnostic Radiology Physician in Washington

Sources for this page

Verify at the official NPI Registry.