Individual provider Active NPI

Robert Boris Osnis, MD

  • Vascular & Interventional Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1912939679
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD00047372 Issued in WA
Practice address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00047372 WA
Vascular & Interventional Radiology Physician 2085R0204X MD00047372 WA Primary

Addresses

Primary practice location

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers 5

IdentifierTypeStateIssuer
1022121MedicaidWA
0217502OtherWAL&I-SWEDISH RADIA EDMONDS
0217501OtherWAL&I-EVERGREEN RADIA
0215833OtherWAL&I-RADIA REST OF WA
0380141OtherWAL&I-RADIA KING CTY

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
I20070111000672 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8426032319 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 640-4250

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

406 S 30TH Ave
Yakima, WA 98902-3713

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

Hospital & facility affiliations

  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
  • Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00047372WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 1, 2007 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Sep 18, 2019 Accepting new patients
Swedish Health Services CurrentSince Dec 11, 2020 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Sep 18, 2019 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Dec 11, 2020 Accepting new patients
Swedish Health Services CurrentSince Dec 11, 2020 Accepting new patients
Swedish Medical Center-Radia Issaquah Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

12917 SE 38th St
Ste 100
Bellevue, WA 98006
Phone (206) 292-7990

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

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

728 134th St SW
Ste 120
Everett, WA 98204
Phone (425) 741-7500

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

515 Minor Ave
Ste 110
Seattle, WA 98104
Phone (206) 292-6233

550 17th Ave
Fl 5
Seattle, WA 98122
Phone (206) 386-3880

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

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1912939679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSNIS",
        "first_name": "ROBERT",
        "middle_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00047372",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD00047372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022121",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-SWEDISH RADIA EDMONDS",
            "identifier": "0217502",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-EVERGREEN RADIA",
            "identifier": "0217501",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-RADIA REST OF WA",
            "identifier": "0215833",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-RADIA KING CTY",
            "identifier": "0380141",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.