Ella Yepraksia Bostanjian, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD60039274 Issued in WA

Practice address

617 5TH Ave S
Edmonds, WA 98020-3452

Phone

(425) 697-2100

Fax

(425) 697-5556

NPI assigned

Mar 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15297/brand/1/csg/1/fhir/r4
• Direct secure messaging: ella.bostanjian.1@15297.direct.athenahealth.com

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.

• Edmonds Health Clinic

  • Family Medicine Physician
  • Edmonds, WA
  • NPI 1649553538
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Swedish Edmonds

  • General Acute Care Hospital
  • Edmonds, WA
  • NPI 1033107214
  Care Compare affiliation
• Swedish Edmonds

  • Clinical Medical Laboratory
  • Edmonds, WA
  • NPI 1699894022

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1871735647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 5TH AVE S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203452",
            "telephone_number": "425-697-2100",
            "fax_number": "425-697-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 5TH AVE S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203452",
            "telephone_number": "425-697-2100",
            "fax_number": "425-697-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTANJIAN",
        "first_name": "ELLA",
        "middle_name": "YEPRAKSIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD60039274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Viktorovna Bond, MD
• Rebecca Bonser, M.S.
• Robyn Boone, LMP
• Sandra Borg, M.D.
• Raul Borromeo, MD
• Ann Bourey, PT
• Randolph Bourne, MD
• Brianne Marie Bowen, PA-C
• Bowers Family Chiropractic
• Gregory Bowers, D.C.

• General Practice Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.

Verify at the official NPI Registry.