Individual provider Active NPI

Eldina Nizamic, M.D.

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1831266063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00040334 Issued in WA
Practice address
14350 SE Eastgate Way
Bellevue, WA 98007-6458
Phone
(206) 296-4920
Fax
(206) 205-8960
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD00040334 WA Primary

Addresses

Primary practice location

14350 SE Eastgate Way
Bellevue, WA 98007-6458

Mailing address

603 11TH Ave
Kirkland, WA 98033-5611
Phone (425) 822-8993

Other identifiers 1

IdentifierTypeStateIssuer
8254088MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: enizamic313704@direct.ochin.org
  • Direct secure messaging: eldina.nizamic@70976835354628.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831266063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 11TH AVE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335611",
            "telephone_number": "425-822-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 SE EASTGATE WAY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076458",
            "telephone_number": "206-296-4920",
            "fax_number": "206-205-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZAMIC",
        "first_name": "ELDINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00040334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8254088",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.