Individual provider Active NPI

Harry L Teicher, MD

  • Gastroenterology Physician
  • Seattle, WA
National Provider Identifier
1821086174
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD00032495 Issued in WA
Practice address
747 Broadway
Seattle, WA 98122-4379
Phone
(206) 215-2520
Fax
(206) 215-6364
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00032495 WA
Gastroenterology Physician 207RG0100X MD00032495 WA Primary

Addresses

Primary practice location

747 Broadway
Seattle, WA 98122-4379

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

4100 SW Alaska St Ste B
Seattle, WA 98116-4527
Phone (206) 320-3399

Other identifiers 5

IdentifierTypeStateIssuer
1821086174MedicaidWA
1514TEOtherWAREGENCE PROV #
100013975OtherWARR MEDICARE
2300720OtherWAAETNA
131375OtherWAL&I

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address hteicher1043404@wm.providencedirect.org
Direct Messaging Address hteicher1043404@wm.providencedirect.org
Direct Messaging Address hteicher1043404@wm.providencedirect.org
Direct Messaging Address hteicher1043404@wm.providencedirect.org 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080414000700 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 7113004292 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacmed ClinicsGroup PAC ID 2466350657, shared by 2 NPIs, 211 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy179
Upper gastrointestinal (GI) endoscopy for acid reflux106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S CurrentSince Apr 4, 2016 Accepting new patients
Pacmed Clinics Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Apr 4, 2016 Accepting new patients
Pacmed Clinics CurrentSince Feb 1, 2021 Accepting new patients
Pacmed Clinics CurrentSince Feb 1, 2021 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Apr 4, 2016 Accepting new patients
Swedish Health Services CurrentSince Apr 4, 2016 Accepting new patients
Proliance Surgeons Inc P S 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

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

3236 78th Ave SE
Ste 200
Mercer Island, WA 98040
Phone (206) 275-5060

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700

800 5th Ave
Ste 600
Seattle, WA 98104

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

515 Minor Ave
Ste 200
Seattle, WA 98104
Phone (206) 386-9615

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

3400 California Ave SW
Ste 300
Seattle, WA 98116
Phone (206) 320-3399

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

4100 SW Alaska St
#B
Seattle, WA 98116
Phone (206) 320-3399

5350 Tallman Ave NW
Ste 520
Seattle, WA 98107
Phone (206) 215-4250

515 Minor Ave
Seattle, WA 98104
Phone (206) 386-9595

1221 Madison St
Ste 1220
Seattle, WA 98104
Phone (206) 215-4250

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: hteicher1043404@wm.providencedirect.org

Organizations & group practices 9

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 5

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1821086174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224379",
            "telephone_number": "206-215-2520",
            "fax_number": "206-215-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 SW Alaska St Ste B",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981164527",
            "country_code": "US",
            "telephone_number": "206-320-3399",
            "fax_number": "206-320-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEICHER",
        "first_name": "HARRY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00032495",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00032495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821086174",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROV #",
            "identifier": "1514TE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100013975",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2300720",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "131375",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hteicher1043404@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "3400 California Ave SW Ste 300",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981163307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hteicher1043404@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "5350 Tallman Ave NW Ste 520",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981075910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hteicher1043404@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1221 Madison St Ste 1220",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981041356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hteicher1043404@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4100 SW Alaska St Ste B",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981164527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.