Individual provider Active NPI

Joseph Anthony Passanante, M.D.

  • Emergency Medicine Physician
  • Bellevue, WA
National Provider Identifier
1891727798
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60636081 Issued in WA
Practice address
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone
(425) 688-5000
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 273206 NY
Emergency Medicine Physician 207P00000X MD60636081 WA Primary

Addresses

Primary practice location

1035 116TH Ave NE
Bellevue, WA 98004-4604

Mailing address

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

Other practice location 1

336 E 86th St
New York, NY 10028-4615
Phone (516) 783-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140718000770 NY Practitioner - Emergency Medicine 8729086400 Reassigns benefits to 2 organizations
I20160909002397 WA Practitioner - Emergency Medicine 8729086400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northwestern University Feinberg Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians

Practice addresses (Care Compare)

1169 Liberty Ave
Brooklyn, NY 11208-3308
Phone (646) 604-8180

1248 Fulton St
Brooklyn, NY 11216-2003
Phone (646) 604-8130

228 - 230 Court St
Brooklyn, NY 11201-6405
Phone (718) 280-5362

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273206NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics, LLC CurrentSince Jul 1, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 25, 2022 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Jul 1, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Modern Physician Services PC CurrentSince Feb 6, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 25, 2022 Accepting new patients
New Era Medical Services, LLC Emergency Medicine Past Accepting new patients

Locations

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

Interoperability endpoints

  • Direct secure messaging: joseph.passanante.2@2983.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1891727798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044604",
            "telephone_number": "425-688-5000",
            "fax_number": "425-233-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044604",
            "telephone_number": "425-688-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 E 86th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100284615",
            "country_code": "US",
            "telephone_number": "516-783-4600",
            "fax_number": "516-783-4612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSANANTE",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "273206",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60636081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.