Active NPI
Priya Deka, M.D.
- Obstetrics & Gynecology Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD61089161
- Practice address
- 900 Pacific Ave Ste 501
Everett, WA 98201-4189 - Phone
- (425) 258-7550
- Fax
- (425) 258-7450
- NPI assigned
- Jun 24, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD61089161 | WA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 18236 | NH |
Addresses
Primary practice location
900 Pacific Ave Ste 501
Everett, WA 98201-4189
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 747-2455
Other practice location 1
590 Court Street
Dartmouth Hitchcock - OB/GYN
Keene, NH 03431
Phone (603) 354-5400
Other practice location 2
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4683
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pdeka1408443@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000
4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330
900 Pacific Ave
Suite 501
Everett, WA 98201-4189
Phone (425) 258-7550
Hospital & facility affiliations
- Providence Regional Medical Center Everett
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18236 | NH | MD | Obstetrics & Gynecology Physician |
| MD61089161 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Providence Health & Services-Wa | Past | Accepting new patients |
Locations
900 Pacific Ave
Ste 501
Everett, WA 98201
Phone (425) 258-7550
1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
Interoperability endpoints
- pdeka1408443@wm.providencedirect.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- Family Medicine Physician
- Marysville, WA
- NPI 1063663458
-
- General Practice Physician
- Everett, WA
- NPI 1013169507
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1831538867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PACIFIC AVE STE 501",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014189",
"telephone_number": "425-258-7550",
"fax_number": "425-258-7450"
}
],
"practiceLocations": [
{
"address_1": "590 Court Street",
"address_2": "Dartmouth Hitchcock - OB/GYN",
"address_purpose": "LOCATION",
"city": "Keene",
"state": "NH",
"postal_code": "03431",
"country_code": "US",
"telephone_number": "603-354-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 Portland Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213001",
"country_code": "US",
"telephone_number": "585-922-4683",
"fax_number": "585-922-3606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEKA",
"first_name": "PRIYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD61089161",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "18236",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pdeka1408443@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "900 Pacific Ave Ste 501",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982014189",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.