Organization Active NPI

Geriatric Medicine ,LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bellevue, WA
National Provider Identifier
1942525498
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD00028124 Issued in WA
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

Updated by the provider on Jan 27, 2022

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0241685OtherL & I
8527749MedicaidWA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.