NPIMap

Individual provider Active NPI

Justin R. Cuschieri, MD

  • Gastroenterology Physician
  • Everett, WA
National Provider Identifier
1871787663
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD60430435 Issued in WA
Practice address
4225 Hoyt Avenue
Ste a
Everett, WA 98203-2318
Phone
(425) 259-3122
Fax
(425) 322-2057
NPI assigned
Sep 5, 2007
Last updated
Jul 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NONE OH
Gastroenterology Physician 207RG0100X MT196537 PA
Gastroenterology Physician 207RG0100X MD041204 DC
Gastroenterology Physician 207RG0100X MD441342 PA
Gastroenterology Physician 207RG0100X MD60430435 WA Primary

Addresses

Primary practice location

4225 Hoyt Avenue
Ste a
Everett, WA 98203-2318

Mailing address

4225 Hoyt Avenue
Suite a
Everett, WA 98205-2318
Phone (425) 259-3122

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
I20141120002559 WA Practitioner - Gastroenterology 6709063720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Washington Medical Group Inc PSGroup PAC ID 7517870314, shared by 7 NPIs, 111 clinicians

Practice addresses (Care Compare)

3822 Colby Ave
Suite 100
Everett, WA 98201-4913
Phone (425) 263-8980

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy57
Upper gastrointestinal (GI) endoscopy for acid reflux90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT196537PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS Gastroenterology Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Aug 23, 2014 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Aug 23, 2014 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Aug 23, 2014 Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060

12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122

1728 W Marine View Dr
Ste 111
Everett, WA 98201

3822 Colby Ave
#100
Everett, WA 98201
Phone (425) 259-4041

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

Interoperability endpoints

  • Direct secure messaging: jcuschieri727152@direct.multicare.org

Organizations & group practices 5

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 8

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1871787663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 HOYT AVENUE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982052318",
            "telephone_number": "425-259-3122",
            "fax_number": "425-322-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 HOYT AVENUE",
            "address_2": "STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032318",
            "telephone_number": "425-259-3122",
            "fax_number": "425-322-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSCHIERI",
        "first_name": "JUSTIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MT196537",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DC",
            "license": "MD041204",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD441342",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60430435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.