Active NPI
Grace T Um, MD
- Plastic and Reconstructive Surgery Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD61295418
- Practice address
- 17930 Talbot Rd S
Renton, WA 98055-6230 - Phone
- (425) 228-3187
- Fax
- (425) 228-7972
- NPI assigned
- Mar 27, 2015
- Last updated
- Jul 2, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD61295418 | WA | Primary |
Addresses
Primary practice location
17930 Talbot Rd S
Renton, WA 98055-6230
Mailing address
17930 Talbot Rd S
Renton, WA 98055-6230
Phone (425) 228-3187
Other practice location 1
23925 225th Way SE Ste B
Maple Valley, WA 98038-5291
Phone (425) 228-3187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2045867 | Medicaid | WA |
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
- Plastic and Reconstructive Surgery
- Education
- Washington University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Boren Ave
Suite 1650
Seattle, WA 98104-3508
Phone (206) 215-6221
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 84.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61295418 | WA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Swedish Health Services | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
901 Boren Ave
Ste 1650
Seattle, WA 98104
Phone (206) 215-6221
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
Plastic and Reconstructive Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1811381791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17930 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980556230",
"telephone_number": "425-228-3187",
"fax_number": "425-228-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17930 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980556230",
"telephone_number": "425-228-3187",
"fax_number": "425-228-7972"
}
],
"practiceLocations": [
{
"address_1": "23925 225th Way SE Ste B",
"address_purpose": "LOCATION",
"city": "Maple Valley",
"state": "WA",
"postal_code": "980385291",
"country_code": "US",
"telephone_number": "425-228-3187",
"fax_number": "425-228-7972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UM",
"first_name": "GRACE",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WA",
"license": "MD61295418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2045867",
"state": "WA"
}
],
"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 Jul 2, 2026; 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.