Active NPI
Haytham E Maria, M.D.
- Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD60880399
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-4330 - Phone
- (206) 520-5000
- NPI assigned
- Aug 5, 2012
- Last updated
- Dec 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 14193088-1205 | UT | |
| Surgery Physician | 208600000X | MD60880399 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-4330
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other practice location 1
3592 W 9000 S Ste 210
West Jordan, UT 84088-8819
Phone (801) 208-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912254392 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Springfield Hospital Inc | Surgery | Current | Accepting new patients |
| Springfield Hospital .Inc | Current | Accepting new patients |
Locations
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
29 Ridgewood Rd
Springfield, VT 05156
Phone (802) 885-5733
Interoperability endpoints
- haytham.maria@hca3.eclinicaldirectplus.com
- hmaria@yourcarecommunity.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
TX
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
-
dba Springfield Specialty Physicians
- Anesthesiology Physician
- Springfield, VT
- NPI 1780657783
Surgery
-
- General Acute Care Hospital
- Teec Nos Pos, AZ
- NPI 1477615789
-
- Critical Access Hospital
- Springfield, VT
- NPI 1982743969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1912254392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981954330",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [
{
"address_1": "3592 W 9000 S Ste 210",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840888819",
"country_code": "US",
"telephone_number": "801-208-1050",
"fax_number": "801-208-6376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARIA",
"first_name": "HAYTHAM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-05",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "14193088-1205",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD60880399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912254392",
"state": "WA"
}
],
"endpoints": [],
"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 Dec 18, 2024; 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.