Active NPI
Eldina Nizamic, M.D.
- Family Medicine Physician
- Bellevue, WA
National Provider Identifier
1831266063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00040334
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8254088 | Medicaid | WA |
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
- enizamic313704@direct.ochin.org
- 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.