Individual provider Active NPI

Shane Jhooty

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1821409566
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60735404 Issued in WA
Practice address
1448 NW Market St
Seattle, WA 98107-3743
Phone
(206) 860-4700
Fax
(206) 624-9520
NPI assigned
May 15, 2014
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60735404 WA Primary

Addresses

Primary practice location

1448 NW Market St
Seattle, WA 98107-3743

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414

Other practice location 1

509 Olive Way Ste 200&900
Seattle, WA 98101-1720
Phone (206) 329-1760

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
I20171011003360 WA Practitioner - Family Practice 0648545954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians

Practice addresses (Care Compare)

509 Olive Way
900 The Polyclinic Downtown
Seattle, WA 98101-1724
Phone (206) 860-4700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60735404WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Jun 14, 2025 Accepting new patients
The Polyclinic PLLC Family Medicine Current Accepting new patients
The Polyclinic CurrentSince Oct 1, 2017 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Jun 14, 2025 Accepting new patients
The Polyclinic PLLC Family Medicine Past Accepting new patients

Locations

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1448 NW Market St
Seattle, WA 98107
Phone (206) 781-6353

509 Olive Way
Ste 900
Seattle, WA 98101
Phone (206) 326-1760

1145 Broadway
Ste 200
Seattle, WA 98122

1145 Broadway
Seattle, WA 98122

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Interoperability endpoints

  • Direct secure messaging: sjhooty1068307@wm.providencedirect.org
  • Direct secure messaging: sjhooty22363@direct.tecmc.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1821409566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036421",
            "telephone_number": "206-860-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073743",
            "telephone_number": "206-860-4700",
            "fax_number": "206-624-9520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Olive Way Ste 200&900",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011720",
            "country_code": "US",
            "telephone_number": "206-329-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHOOTY",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60735404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.