Active NPI
Scott Nomura
- Pulmonary Disease Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD61539589
- Practice address
- 12728 19TH Ave SE Ste 300
Everett, WA 98208-6676 - Phone
- (425) 252-1116
- Fax
- (425) 252-1118
- NPI assigned
- Apr 16, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD61539589 | WA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD61539589 | WA |
Addresses
Primary practice location
12728 19TH Ave SE Ste 300
Everett, WA 98208-6676
Mailing address
1728 W Marine View Dr Ste 110
Everett, WA 98201-2094
Phone (425) 740-5032
Other practice location 1
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2295990 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | snomura80659@skagit.direct-ci.com | Direct |
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
- Critical Care (Intensivists)
- Education
- University of California, San Diego School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166401 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Critical Care Medicine | Current | Accepting new patients |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Providence Health & Services-Wa | Past | Accepting new patients |
Locations
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
12728 19th Ave SE
Ste 300
Everett, WA 98208
Phone (425) 252-1116
1728 W Marine View Dr
Ste 111
Everett, WA 98201
1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Everett, WA
- NPI 1396413803
-
- Pulmonary Disease Physician
- Everett, WA
- NPI 1215155619
Critical Care Medicine
-
- Infectious Disease Physician
- Everett, WA
- NPI 1427816305
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1811484728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 W MARINE VIEW DR STE 110",
"city": "EVERETT",
"state": "WA",
"postal_code": "982012094",
"telephone_number": "425-740-5032",
"fax_number": "425-740-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 19TH AVE SE STE 300",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086676",
"telephone_number": "425-252-1116",
"fax_number": "425-252-1118"
}
],
"practiceLocations": [
{
"address_1": "1415 E Kincaid St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744126",
"country_code": "US",
"telephone_number": "360-424-4111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOMURA",
"first_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-16",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD61539589",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD61539589",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2295990",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "snomura80659@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Direct",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1415 E Kincaid St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.