Individual provider Active NPI

Sonia Joseph Durham, MD

  • Hospitalist Physician
  • Bellevue, WA
National Provider Identifier
1932620119
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
61476512 Issued in WA
Practice address
2475 140TH Ave NE BLDG C
Bellevue, WA 98005-1892
Phone
(425) 460-5634
Fax
(253) 277-9635
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 61476512 WA Primary
Hospitalist Physician 208M00000X S5602 TX
Student in an Organized Health Care Education/Training Program 390200000X TX

Addresses

Primary practice location

2475 140TH Ave NE BLDG C
Bellevue, WA 98005-1892

Mailing address

2475 140TH Ave NE BLDG C
Bellevue, WA 98005-1892
Phone (425) 460-5634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170727001687 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9032489836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5602TXMDHospitalist Physician
61476512WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 Past Accepting new patients
Overlake Medical Center & Clinics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1932620119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 140TH AVE NE BLDG C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051892",
            "telephone_number": "425-460-5634",
            "fax_number": "253-277-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 140TH AVE NE BLDG C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051892",
            "telephone_number": "425-460-5634",
            "fax_number": "253-277-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "SONIA",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "61476512",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "S5602",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.