Active NPI
Viviane M Bunin, MD
- Rheumatology Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- P5518
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 321609502 | Medicaid | TX | |
| 8EH181 | Other | TX | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A120983 | CA | MD | Rheumatology Physician |
Interoperability endpoints
- 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.
-
- Infusion Therapy Clinic/Center
- Bellevue, WA
- NPI 1184150344
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba EvergreenHealth Medical Center
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.