Active NPI
Louis Justin Needleman, DO
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61395758
- Practice address
- 9709 3Rd Ave NE
Seattle, WA 98115-2062 - Phone
- (206) 329-1760
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61395758 | WA | Primary |
Addresses
Primary practice location
9709 3Rd Ave NE
Seattle, WA 98115-2062
Mailing address
1145 Broadway
Seattle, WA 98122-4201
Phone (206) 860-5414
Other practice location 1
3130 Ellis St
Bellingham, WA 98225-1904
Phone (360) 734-4404
Other practice location 2
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2501
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lneedleman79360@skagit.direct-ci.com | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
3130 Ellis St
Bellingham, WA 98225-1904
Phone (360) 734-4404
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Multi-Specialty | Current | Accepting new patients |
| The Polyclinic PLLC | Multi-Specialty | Current | Accepting new patients |
| Optum Care Washington PLLC | Multi-Specialty | Current | Accepting new patients |
| Optum Care Washington PLLC | Multi-Specialty | Current | Accepting new patients |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
3130 Ellis St
Bellingham, WA 98225
Phone (360) 734-4404
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1145 Broadway
Seattle, WA 98122
9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Interoperability endpoints
- lneedleman79360@skagit.direct-ci.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Multi-Specialty
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
-
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1881221471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224201",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9709 3RD AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152062",
"telephone_number": "206-329-1760"
}
],
"practiceLocations": [
{
"address_1": "3130 Ellis St",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982251904",
"country_code": "US",
"telephone_number": "360-734-4404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 E Kincaid St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744127",
"country_code": "US",
"telephone_number": "360-428-2501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEEDLEMAN",
"first_name": "LOUIS",
"middle_name": "JUSTIN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61395758",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lneedleman79360@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Direct",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1400 E Kincaid St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744127",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 7, 2026; 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.