Individual provider Active NPI

Aubrey Lyn Girolamo I, M.D.

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1902123623
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 60339019 Issued in WA
Practice address
5350 Tallman Ave NW
Suite 301
Seattle, WA 98107-5902
Phone
(206) 320-3335
Fax
(206) 320-8027
NPI assigned
Apr 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD 60339019 WA Primary

Addresses

Primary practice location

5350 Tallman Ave NW
Suite 301
Seattle, WA 98107-5902

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

751 NE Blakely Dr Fl 5
Issaquah, WA 98029-6201
Phone (425) 394-0700

Other names 1

  • Dr. Aubrey Lyn Hendricks I Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agirolamo1041731@wm.providencedirect.org 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000697 WA Practitioner - Internal Medicine 7911141304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

751 NE Blakely Dr
Suite 5010
Issaquah, WA 98029-6201
Phone (425) 394-0700

Hospital & facility affiliations

  • Providence at Home With Compassus Home Health, King Home health agency, Tukwila, WA, CCN 507068
  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 60339019WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Sep 1, 2013 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

751 NE Blakely Dr
Ste 5010
Issaquah, WA 98029
Phone (425) 394-0700

751 NE Blakely Dr
Fl 5
Issaquah, WA 98029
Phone (206) 215-1770

5350 Tallman Ave NW
Ste 301
Seattle, WA 98107
Phone (206) 320-3335

800 5th Ave
Ste 600
Seattle, WA 98104

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Interoperability endpoints

  • Direct secure messaging: agirolamo1041731@wm.providencedirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1902123623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 TALLMAN AVE NW",
            "address_2": "SUITE 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075902",
            "telephone_number": "206-320-3335",
            "fax_number": "206-320-8027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 NE Blakely Dr Fl 5",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980296201",
            "country_code": "US",
            "telephone_number": "425-394-0700",
            "fax_number": "425-394-0757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIROLAMO",
        "first_name": "AUBREY",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD 60339019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agirolamo1041731@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "751 NE Blakely Dr Fl 5",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980296201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "HENDRICKS",
            "middle_name": "LYN",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.