Individual provider Active NPI

Davis Alan Guilbert, M.D.

  • Diagnostic Radiology Physician
  • Kirkland, WA
National Provider Identifier
1841302007
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00048235 Issued in WA
Practice address
11811 NE 128TH Street
Kirkland, WA 98034-7200
Phone
(425) 821-3472
Fax
(425) 820-4115
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 044452 CT
Diagnostic Radiology Physician 2085R0202X MD00048235 WA Primary

Addresses

Primary practice location

11811 NE 128TH Street
Kirkland, WA 98034-7200

Mailing address

PO Box 94624
Seattle, WA 98124-6924
Phone (800) 634-4064

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
I20071112000545 WA Practitioner - Diagnostic Radiology 7416045208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants of Washington Inc PS 11 clinicians

Practice addresses (Care Compare)

115 NE 100TH St
Suite 101
Seattle, WA 98125-8013
Phone (206) 524-5599

12112 115TH Ave NE
Suite B
Kirkland, WA 98034-6958
Phone (425) 821-3472

1301 4TH Ave NW
Suite 202
Issaquah, WA 98027-9371
Phone (425) 600-1054

1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817
Phone (425) 637-9729

220 SW 43Rd St
Renton, WA 98057-4936
Phone (425) 291-9191

3131 Nassau St
Suite 102
Everett, WA 98201-4137
Phone (425) 740-5000

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as individual
Quality
71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044452CTMDDiagnostic Radiology Physician
MD00048235WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Washington, Inc., P.S. Diagnostic Radiology CurrentSince Jul 1, 2007 Accepting new patients
Radiology Consultants of Washington, Inc., P.S. Diagnostic Radiology Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology Past Accepting new patients

Locations

1310 116th Ave NE
Ste E
Bellevue, WA 98004
Phone (425) 250-1145

3131 Nassau St
#102
Everett, WA 98201
Phone (425) 740-5000

12112 115th Ave NE
Kirkland, WA 98034

220 SW 43rd St
Renton, WA 98057
Phone (425) 291-9191

115 NE 100th St
Ste 101
Seattle, WA 98125
Phone (206) 524-5599

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1841302007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94624",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246924",
            "telephone_number": "800-634-4064",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 NE 128TH STREET",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347200",
            "telephone_number": "425-821-3472",
            "fax_number": "425-820-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBERT",
        "first_name": "DAVIS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "044452",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00048235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.