Active NPI
Geriatric Medicine ,LLC
- Geriatric Medicine (Internal Medicine) Physician
- Bellevue, WA
National Provider Identifier
1942525498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD00028124
- Legal business name
- GERIATRIC MEDICINE ,LLC
- Practice address
- 3980 129TH PL SE Apt B201
Bellevue, WA 98006-5293 - Phone
- (206) 601-6149
- Fax
- (206) 219-5598
- NPI assigned
- Mar 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin N Pinto, M.D.
- Title
- Owner
- Phone
- (206) 601-6149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD00028124 | WA | Primary |
Addresses
Primary practice location
3980 129TH PL SE Apt B201
Bellevue, WA 98006-5293
Mailing address
12819 SE 38TH St
Pmb243
Bellevue, WA 98006-1326
Phone (206) 601-6149
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0241685 | Other | L & I | |
| 8527749 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643241600000",
"number": "1942525498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12819 SE 38TH ST",
"address_2": "PMB243",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061326",
"telephone_number": "206-601-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 129TH PL SE APT B201",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980065293",
"telephone_number": "206-601-6149",
"fax_number": "206-219-5598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC MEDICINE ,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "PINTO",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-601-6149",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "WA",
"license": "MD00028124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0241685",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8527749",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.