NPIMap

Organization Active NPI

Seattle Children's Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Seattle, WA
National Provider Identifier
1811041692
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
H-014 Issued in WA
Legal business name
SEATTLE CHILDREN'S HOSPITAL
Practice address
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone
(206) 987-5770
Fax
(206) 987-5779
NPI assigned
Jan 22, 2007
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SEATTLE CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Suzanne Beitel
Title
SVP and Cfo
Phone
(206) 987-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X H-014 WA Primary
Specialist 174400000X H-014 WA

Addresses

Primary practice location

4800 Sand Point Way NE
Seattle, WA 98105-3901

Mailing address

PO Box 5371
818-RC
Seattle, WA 98145-5005
Phone (206) 987-5770

Other identifiers 1

IdentifierTypeStateIssuer
1019477MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031002000034 WA Part A Provider - Hospital 9032021050 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tacoma, WA; Seattle, WA; Everett, WA; Federal Way, WA; Bellevue, WA
O20031211000532 WA Part B Supplier - Clinic/Group Practice 9032021050 Receives reassigned benefits from 1,060 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Richland, WA; Seattle, WA; Silverdale, WA; Tacoma, WA; Wenatchee, WA; Yakima, WA; Olympia, WA; Renton, WA…
O20070910000340 WA Part A Provider - End-Stage Renal Disease Facility (ESRD) 9032021050 Practice locations: Seattle, WA
O20090817000715 WA Part A Provider - End-Stage Renal Disease Facility (ESRD) 9032021050 Practice locations: Eastsound, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811041692. Details of each certification follow.

Hospital certification: CCN 503300

Legal name
SEATTLE CHILDRENS HOSPITAL
Doing business as
CHILDRENS HOSPITAL & REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Oct 1, 1983
Last certification
Jun 19, 2025
Beds
250
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 11, 1907 in WA
Enrollment address
4800 Sand Point Way NE
Seattle, WA 98105-3901
Hospital subgroups
Acute care, Children’s, Other

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Seattle Children's HospitalCCN 503300 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Seattle Childrens Hospital

Ownership & related parties

All disclosed owners & managing parties 35

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Suzanne M Vanderwerff Individual W-2 Managing Employee Apr 1, 2014
Dan Levitan Individual Corporate Director Oct 1, 2019
Jeffrey Sperring Individual Corporate OfficerCeo May 4, 2015
Corporate Director May 4, 2015
Jill Brubaker Individual Corporate Director Oct 1, 2017
Colin Fox Individual Corporate DirectorBoard of Trustee Member Jul 1, 2014
Marcus East Individual Corporate Director Oct 1, 2023
Dondi Cupp Individual W-2 Managing Employee Jun 12, 2022
Seattle Children's Health Care System Organization, Seattle, WA Non-profit Operational/Managerial Control Nov 2, 2015
Zafar Chaudry Individual W-2 Managing Employee Nov 6, 2017
Kenneth Denman Individual Corporate Director Jan 1, 2021
John Schoettler Individual Corporate Director Jan 1, 2021
Myra Gregorian Individual W-2 Managing Employee Jul 24, 2017
Susan J Huang Individual Corporate Director Oct 1, 2024
Samantha Sloane Individual W-2 Managing Employee Oct 1, 2024
Kurt Shintaffer Individual Corporate Director Jan 1, 2021
Moya Vazquez Individual Corporate Director Oct 1, 2017
Susan Betcher Individual Corporate DirectorBoard of Trustee Member Jul 1, 2012
Loren Alhadeff Individual Corporate Director Jan 1, 2021
Todd N Hofheins Individual Corporate Director Oct 1, 2024
Jeffrey G Ojemann Individual W-2 Managing Employee Jan 1, 2020
Lisa Hayward Individual W-2 Managing Employee Jan 4, 2016
Vittorio Gallo Individual W-2 Managing Employee Sep 18, 2023
Conan Viernes Individual Corporate Director Oct 1, 2021
Joel French Individual Corporate Director Oct 1, 2019
Jamie Phillips Individual W-2 Managing Employee Oct 24, 2022
Kimi King Individual Corporate Director Oct 1, 2024
Eric Tham Individual W-2 Managing Employee May 2, 2022
Susan Mullaney Individual Corporate Director Oct 1, 2023
Mark Okerstrom Individual Corporate Director Oct 1, 2023
Jasmin Narvaez Zavala Individual Corporate Director Oct 1, 2024
Troy Hutson Individual Corporate Director Oct 1, 2021
Suzanne Beitel Individual W-2 Managing Employee Dec 4, 2017
Andre a Dick Individual W-2 Managing Employee Mar 1, 2022
Georialee Zunker Individual Corporate Director Oct 1, 2024
Bonnie Fryzlewics Individual W-2 Managing Employee May 2, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

Affiliated clinicians 78

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1811041692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5371",
            "address_2": "818-RC",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455005",
            "telephone_number": "206-987-5770",
            "fax_number": "206-987-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-5770",
            "fax_number": "206-987-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEATTLE CHILDREN'S HOSPITAL",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "BEITEL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "SVP AND CFO",
        "authorized_official_telephone_number": "206-987-2000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "WA",
            "license": "H-014",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "H-014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019477",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.