NPIMap

Individual provider Active NPI

Martins Efosa Bazuaye, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bellingham, WA
National Provider Identifier
1861029902
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD70035452 Issued in WA
Practice address
4465 Cordata Pkwy Ste B
Bellingham, WA 98226-8037
Phone
(360) 752-5206
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD70035452 WA Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2023019463 MO

Addresses

Primary practice location

4465 Cordata Pkwy Ste B
Bellingham, WA 98226-8037

Mailing address

3315 Berrywood Dr Ste 201
Columbia, MO 65201-6571
Phone (573) 884-0769

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
I20251009000741 WA Practitioner - Internal Medicine 9739548694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

4465 Cordata Pkwy C
Bellingham, WA 98226-8037
Phone (360) 752-5280

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Peacehealth Peace Island Medical Center Hospital, Friday Harbor, WA, CCN 501340
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD70035452WAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gentlepath Medical Associates Endocrinology, Diabetes & Metabolism Current Accepting new patients
Peacehealth Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2025 Accepting new patients
Curators of the University of Missouri PastSince Jul 1, 2023 Accepting new patients
Associated Urologists, P.C. PastSince Jul 1, 2023 Accepting new patients

Locations

4465 Cordata Pkwy
Ste C
Bellingham, WA 98226
Phone (360) 752-5280

4465 Cordata Pkwy
Ste B
Bellingham, WA 98226
Phone (360) 752-5206

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

Interoperability endpoints

  • Direct secure messaging: mbazuaye804542@direct.peacehealth.org

Organizations & group practices 7

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 5

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1861029902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 BERRYWOOD DR STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016571",
            "telephone_number": "573-884-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 CORDATA PKWY STE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268037",
            "telephone_number": "360-752-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZUAYE",
        "first_name": "MARTINS",
        "middle_name": "EFOSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD70035452",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2023019463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.