Active NPI
Steve Lars Risa, M.D.
- Otolaryngology Physician
- Bellevue, WA
National Provider Identifier
1881925956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 22205
- Practice address
- 4538 177TH Ave SE
Bellevue, WA 98006-6519 - Phone
- (425) 444-6154
- NPI assigned
- Jan 28, 2010
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 22205 | WA | Primary |
Addresses
Primary practice location
4538 177TH Ave SE
Bellevue, WA 98006-6519
Mailing address
4538 177TH Ave SE
Bellevue, WA 98006-6519
Phone (425) 444-6154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22205 | WA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1881925956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4538 177TH AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980066519",
"telephone_number": "425-444-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4538 177TH AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980066519",
"telephone_number": "425-444-6154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISA",
"first_name": "STEVE",
"middle_name": "LARS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-28",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "22205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.