Active NPI
Nicholas Paul Iannuzzi IV, M.D.
- Orthopaedic Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD60479600
- Practice address
- 4245 Roosevelt Way NE
Suite E110
Seattle, WA 98105-6008 - Phone
- (206) 598-9960
- NPI assigned
- Mar 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ML60096034 | WA | |
| Orthopaedic Surgery Physician | 207X00000X | MD60479600 | WA | Primary |
Addresses
Primary practice location
4245 Roosevelt Way NE
Suite E110
Seattle, WA 98105-6008
Mailing address
4245 Roosevelt Way NE
Suite E110
Seattle, WA 98105-6008
Phone (206) 598-9960
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
- Orthopedic Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Columbia Rd
Seattle, WA 98195-0001
Phone (206) 598-3100
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
325 9TH Ave
Seattle, WA 98104-2420
Phone (206) 731-3000
4245 Roosevelt Way NE
Seattle, WA 98105-6008
Phone (206) 598-7954
Hospital & facility affiliations
- University of Washington Medical Ctr
- Harborview Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60479600 | WA | MD | Orthopaedic Surgery Physician |
| ML60096034 | WA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Orthopaedic Surgery | Current | Accepting new patients |
| Harborview Medical Center | Past | Accepting new patients |
Locations
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
4245 Roosevelt Way NE
Ste E110
Seattle, WA 98105
Phone (206) 598-9960
Interoperability endpoints
- niannuzzi100797@direct.ehre.uwmedicine.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Orthopaedic Surgery
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1851532881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 ROOSEVELT WAY NE",
"address_2": "SUITE E110",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056008",
"telephone_number": "206-598-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 ROOSEVELT WAY NE",
"address_2": "SUITE E110",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056008",
"telephone_number": "206-598-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNUZZI",
"first_name": "NICHOLAS",
"middle_name": "PAUL",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-22",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "ML60096034",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD60479600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.