Individual provider Active NPI

Daniel Groth

  • Allergy & Immunology Physician
  • Seattle, WA
National Provider Identifier
1821476979
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD61305400 Issued in WA
Practice address
9725 3Rd Ave NE Ste 500
Seattle, WA 98115-2024
Phone
(206) 527-1200
NPI assigned
May 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 292974 NY
Allergy & Immunology Physician 207K00000X MD61305400 WA Primary

Addresses

Primary practice location

9725 3Rd Ave NE Ste 500
Seattle, WA 98115-2024

Mailing address

9725 3Rd Ave NE Ste 500
Seattle, WA 98115-2024
Phone (206) 527-1200

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
I20220811003608 WA Practitioner - Allergy/Immunology 9537580345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Icahn School of Medicine at Mount Sinai, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Asthma and Allergy CenterGroup PAC ID 6507759743, 11 clinicians

Practice addresses (Care Compare)

9725 3Rd Ave NE
Suite 500
Seattle, WA 98115-2024
Phone (206) 527-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292974NYMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Asthma & Allergy Center Allergy & Immunology Current Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology CurrentSince Aug 1, 2022 Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology CurrentSince Aug 1, 2022 Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology Past Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology Past Accepting new patients

Locations

10333 19th Ave SE
Ste 105
Everett, WA 98208
Phone (425) 385-2802

9521 Sandifur Pkwy
#2
Pasco, WA 99301
Phone (509) 946-0189

8301 161st Ave NE
Ste 308
Redmond, WA 98052
Phone (425) 882-5020

1412 SW 43rd St
Ste 210
Renton, WA 98057
Phone (425) 235-1716

9725 3rd Ave NE
Ste 500
Seattle, WA 98115
Phone (206) 527-1200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26116/brand/1/csg/1/fhir/r4
  • Direct secure messaging: daniel.groth.1@26116.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1821476979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152024",
            "telephone_number": "206-527-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152024",
            "telephone_number": "206-527-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-09",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "292974",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "MD61305400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.