Individual provider Active NPI

Neil Warren Siecke, MD

  • Cardiovascular Disease Physician
  • Edmonds, WA
National Provider Identifier
1861444911
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD46909 Issued in WA
Practice address
7320 216TH St SW
Ste. 210
Edmonds, WA 98026-8006
Phone
(425) 744-1777
Fax
(425) 177-4179
NPI assigned
May 17, 2006
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A72063 CA
Cardiovascular Disease Physician 207RC0000X A72063 CA
Cardiovascular Disease Physician 207RC0000X MD46909 WA Primary

Addresses

Primary practice location

7320 216TH St SW
Ste. 210
Edmonds, WA 98026-8006

Mailing address

7320 216TH St SW
Ste 210
Edmonds, WA 98026-8006
Phone (425) 744-1777

Other practice location 1

7315 212th St SW Ste 205
Edmonds, WA 98026-7610
Phone (425) 776-6999

Other identifiers 1

IdentifierTypeStateIssuer
00A720630MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nsiecke1030914@wm.providencedirect.org Direct

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
I20061106000386 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 3375509193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 7517870645, 79 clinicians

Practice addresses (Care Compare)

7315 212TH St SW
Edmonds, WA 98026-7610
Phone (425) 776-6999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
80.66
Promoting interoperability
100
Improvement activities
40
Cost
77.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD46909WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Cardiovascular Disease CurrentSince May 1, 2008 Accepting new patients
Swedish Health Services Past Accepting new patients
Swedish Health Services Cardiovascular Disease Past Accepting new patients

Locations

7315 212th St SW
Ste 205
Edmonds, WA 98026
Phone (425) 774-2020

7320 216th St SW
Ste 210
Edmonds, WA 98026
Phone (206) 292-7990

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 5th Ave
Ste 600
Seattle, WA 98104

Interoperability endpoints

  • Direct secure messaging: nsiecke1030914@wm.providencedirect.org

Organizations & group practices 3

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 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1861444911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 216TH ST SW",
            "address_2": "STE 210",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268006",
            "telephone_number": "425-744-1777",
            "fax_number": "425-744-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 216TH ST SW",
            "address_2": "STE. 210",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268006",
            "telephone_number": "425-744-1777",
            "fax_number": "425-177-4179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7315 212th St SW Ste 205",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980267610",
            "country_code": "US",
            "telephone_number": "425-776-6999",
            "fax_number": "425-776-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIECKE",
        "first_name": "NEIL",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72063",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A72063",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD46909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A720630",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsiecke1030914@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7315 212th St SW Ste 205",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980267610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.