Individual provider Active NPI

Viviane M Bunin, MD

  • Rheumatology Physician
  • Bellevue, WA
National Provider Identifier
1841498003
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
P5518 Issued in TX
Practice address
14100 SE 36TH St Ste 105
Bellevue, WA 98006-1657
Phone
(425) 502-8772
Fax
(425) 698-1279
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A120983 CA
Rheumatology Physician 207RR0500X 51233 CT
Rheumatology Physician 207RR0500X P5518 TX Primary

Addresses

Primary practice location

14100 SE 36TH St Ste 105
Bellevue, WA 98006-1657

Mailing address

14100 SE 36TH St Ste 105
Bellevue, WA 98006-1657
Phone (425) 502-8772

Other practice location 1

12443 NE Bel Red Rd Ste 390
Bellevue, WA 98005-2534
Phone (425) 453-9485

Other identifiers 2

IdentifierTypeStateIssuer
321609502MedicaidTX
8EH181OtherTXBLUE CROSS BLUE SHIELD

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
I20170815004150 WA Practitioner - RheumatologyPractitioner - Internal Medicine 0547418048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14100 SE 36TH St
Suite 105
Bellevue, WA 98006-1657
Phone (206) 582-8484

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120983CAMDRheumatology Physician

Interoperability endpoints

  • Direct secure messaging: viviane.bunin.1@16698.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1841498003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SE 36TH ST STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061657",
            "telephone_number": "425-502-8772",
            "fax_number": "425-698-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 SE 36TH ST STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061657",
            "telephone_number": "425-502-8772",
            "fax_number": "425-698-1279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12443 NE Bel Red Rd Ste 390",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052534",
            "country_code": "US",
            "telephone_number": "425-453-9485",
            "fax_number": "425-688-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNIN",
        "first_name": "VIVIANE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A120983",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "51233",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "P5518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321609502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8EH181",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.