Individual provider Active NPI

Jill A Summerfield, MD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1912082256
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00023955 Issued in WA
Practice address
3400 California Ave SW, Ste 300
Seattle, WA 98116
Phone
(206) 320-3399
Fax
(206) 320-5506
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 MD00023955 WA Primary

Addresses

Primary practice location

3400 California Ave SW, Ste 300
Seattle, WA 98116

Mailing address

PO Box 34472
Seattle, WA 98124-1472
Phone (206) 320-3399

Other practice location 1

4744 41st Ave SW Ste 102
Seattle, WA 98116-4566
Phone (206) 320-8120

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jsummerfield1043359@wm.providencedirect.org Direct
Direct Messaging Address jsummerfield1043359@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
I20100420000660 WA Practitioner - Internal Medicine 1850428053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364

2600 Compass Rd
Glenview, IL 60026-8001

4100 SW Alaska St
Suite B
Seattle, WA 98116-4527
Phone (206) 320-3399

4744 41St Ave SW
Seattle, WA 98116-4566

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00023955WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Dec 6, 2016 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Dec 6, 2016 Accepting new patients

Locations

15585 NE 24th St
Bellevue, WA 98007
Phone (206) 781-6080

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

3400 California Ave SW
Ste 300
Seattle, WA 98116
Phone (206) 320-3399

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

800 5th Ave
Ste 600
Seattle, WA 98104

4744 41st Ave SW
Ste 102
Seattle, WA 98116
Phone (206) 320-8120

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: jsummerfield1043359@wm.providencedirect.org

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1912082256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34472",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241472",
            "telephone_number": "206-320-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALIFORNIA AVE SW, STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98116",
            "telephone_number": "206-320-3399",
            "fax_number": "206-320-5506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4744 41st Ave SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981164566",
            "country_code": "US",
            "telephone_number": "206-320-8120",
            "fax_number": "206-876-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERFIELD",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00023955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsummerfield1043359@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3400 California Ave SW, Ste 300",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsummerfield1043359@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4744 41st Ave SW Ste 102",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981164566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.