NPIMap

Individual provider Active NPI

Daniel W Gottlieb, MD PS

  • Cardiovascular Disease Physician
  • Burien, WA
National Provider Identifier
1790778793
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00021018 Issued in WA
Practice address
16122 8TH Ave SW Ste D1
Burien, WA 98166-2967
Phone
(206) 241-7146
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD00021018 WA Primary

Addresses

Primary practice location

16122 8TH Ave SW Ste D1
Burien, WA 98166-2967

Mailing address

PO Box 66596
Seattle, WA 98166-0596
Phone (206) 241-7146

Other identifiers 2

IdentifierTypeStateIssuer
060009854OtherWARR MEDICARE
1001585MedicaidWA

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
I20091230000643 WA Practitioner - Cardiovascular Disease (Cardiology) 4284775024 Reassigns benefits to 2 organizations
Practice locations: Burien, WA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

16122 8TH Ave SW
Suite D1
Burien, WA 98166-2967
Phone (206) 241-7146

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (564) 240-1000

34503 9TH Ave S
Federal Way, WA 98003-8726

Hospital & facility affiliations

  • Highline Medical Center Hospital, Burien, WA, CCN 500011
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
  • Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00021018WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Medical Center CurrentSince Mar 27, 2012 Accepting new patients
Franciscan Medical Group CurrentSince Mar 8, 2020 Accepting new patients
Highline Medical Center CurrentSince Mar 27, 2012 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Daniel W. Gottlieb, M.D., P.S. PastSince Jan 1, 1990 Accepting new patients

Locations

16122 8th Ave SW
Ste D1
Burien, WA 98166
Phone (206) 241-7146

16259 Sylvester Rd SW
Ste 401
Burien, WA 98166
Phone (206) 242-8837

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

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.

Hospital & facility affiliations 8

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1790778793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66596",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981660596",
            "telephone_number": "206-241-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16122 8TH AVE SW STE D1",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662967",
            "telephone_number": "206-241-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "MD PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00021018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060009854",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001585",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.