NPIMap

Individual provider Active NPI

Kenta Nakamura, M.D.

  • Interventional Cardiology Physician
  • Seattle, WA
National Provider Identifier
1841510310
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD60640463 Issued in WA
Practice address
1959 NE Pacific St
Seattle, WA 98195-0001
Phone
(206) 543-6420
NPI assigned
Jun 8, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD60640463 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-0001

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 543-6420

Other identifiers 1

IdentifierTypeStateIssuer
1841510310MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170616002165 WA Practitioner - Interventional Cardiology 5890956940 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of California, San Francisco School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Jul 1, 2017 Accepting new patients
Grays Harbor Community Hospital CurrentSince Dec 23, 2022 Accepting new patients
GHCH Physician Services, LLC Interventional Cardiology CurrentSince Dec 23, 2022 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Jun 8, 2024 Accepting new patients
King County Public Hospital District No 2 CurrentSince Jun 8, 2024 Accepting new patients
Valley Medical Group-Renton CurrentSince May 22, 2019 Accepting new patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Jan 1, 2021 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients

Locations

1211 Skyview Dr
Aberdeen, WA 98520
Phone (360) 532-3808

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

4011 Talbot Rd S
Ste 500
Renton, WA 98055
Phone (425) 251-5110

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

325 9th Ave
#2420
Seattle, WA 98104

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841510310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-543-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "KENTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD60640463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841510310",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.