Active NPI
Brian Kenneth Snitily, M.D.
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD60488992
- Practice address
- 601 Broadway FL 6
Seattle, WA 98122-5330 - Phone
- (206) 386-2600
- Fax
- (206) 622-1644
- NPI assigned
- Apr 3, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | MD90488995 | WA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD60488992 | WA | Primary |
Addresses
Primary practice location
601 Broadway FL 6
Seattle, WA 98122-5330
Mailing address
805 Madison St Ste 901
Seattle, WA 98104-1172
Phone (206) 264-8100
Other practice location 1
751 NE Blakely Dr Ste 4020
Issaquah, WA 98029-6201
Phone (206) 386-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018459 | Medicaid | WA |
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
- Physical Medicine and Rehabilitation
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
601 Broadway
Suite 700
Seattle, WA 98122-5330
Phone (206) 622-2600
Hospital & facility affiliations
- Swedish Medical Center
- Island Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD90488995 | WA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc., P.S. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Opa Ortho PLLC | Sports Medicine | Current | Accepting new patients |
Locations
751 NE Blakely Dr
Ste 4020
Issaquah, WA 98029
Phone (425) 313-7077
751 NE Blakely Dr
Fl 4
Issaquah, WA 98029
Phone (206) 991-2000
20700 Bond Rd NE
Ste 103
Poulsbo, WA 98370
Phone (206) 799-2132
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
601 Broadway
#700
Seattle, WA 98122
Phone (206) 622-2600
601 Broadway
Fl 7
Seattle, WA 98122
Phone (206) 518-6311
601 Broadway
Fl 6
Seattle, WA 98122
Phone (206) 633-8100
Interoperability endpoints
- brian.snitily.p1@direct.opa.nextgenshare.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1558300434
Physical Medicine & Rehabilitation
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1871859942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST STE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-264-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BROADWAY FL 6",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225330",
"telephone_number": "206-386-2600",
"fax_number": "206-622-1644"
}
],
"practiceLocations": [
{
"address_1": "751 NE Blakely Dr Ste 4020",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980296201",
"country_code": "US",
"telephone_number": "206-386-2600",
"fax_number": "206-622-1644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNITILY",
"first_name": "BRIAN",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-03",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "WA",
"license": "MD90488995",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "MD60488992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018459",
"state": "WA"
}
],
"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 Dec 28, 2022; 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.