Individual provider Active NPI

Kathryn H Delbeccaro, M.D.

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1962401778
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00021823 Issued in WA
Practice address
7554 15TH Ave NW
Seattle, WA 98117-5409
Phone
(206) 783-9300
Fax
(206) 789-8404
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00021823 WA Primary

Addresses

Primary practice location

7554 15TH Ave NW
Seattle, WA 98117-5409

Mailing address

7554 15TH Ave NW
Seattle, WA 98117-5409
Phone (206) 783-9300

Other identifiers 1

IdentifierTypeStateIssuer
1032630MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00021823WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ballard Pediatric Clinic Inc PS Past Accepting new patients

Organizations & group practices 1

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1962401778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7554 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175409",
            "telephone_number": "206-783-9300",
            "fax_number": "206-789-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7554 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175409",
            "telephone_number": "206-783-9300",
            "fax_number": "206-789-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBECCARO",
        "first_name": "KATHRYN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00021823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032630",
            "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 Aug 27, 2012; 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.