Prabhat Kumar Bhama, MD, MPH, FACS
Individual provider Active NPI Otolaryngology/Facial Plastic Surgery Physician · Everett, WA
NPI 1962415430 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1962415430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician 207YX0905X
- License
- MD61030796 (WA)
- Practice address
- 1330 Rockefeller Ave Ste 310
Everett, WA 98201-1677 - Phone
- (425) 297-5359
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- University of Michigan Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services- Washington
Alaska Native Tribal Health Consortium
Practice addresses (Care Compare)
1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000
16708 Bothell Everett Hwy
Suite 201
Mill Creek, WA 98012-6345
Phone (425) 482-9020
21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 640-4000
3801 University Lake Dr
Anchorage, AK 99508-4658
Phone (907) 563-2662
4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
Hospital & facility affiliations
- Alaska Native Medical Center
- Providence Regional Medical Center Everett
- Swedish Edmonds Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 32 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140821000393 | TX | Practitioner - Otolaryngology |
6901024694 | Reassigns benefits to 4 organizations |
| I20200618000808 | WA | Practitioner - Otolaryngology | 6901024694 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61030796 | WA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Tanana Chiefs Conference | Current |
Accepting new patients | |
| Providence Health & Services - Washington | Current |
Accepting new patients | |
| Tanana Chiefs Conference | Current |
Accepting new patients | |
| Maniilaq Association | Current |
Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Providence Health & Services- Washington | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Maniilaq Association | Current |
Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Bristol Bay Area Health Corporation | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076
1330 Rockefeller Ave
Ste 310
Everett, WA 98201
Phone (425) 261-4925
3216 Norton Ave
Ste 202
Everett, WA 98201
Phone (425) 258-3181
16708 Bothell Hwy
Ste 201
Mill Creek, WA 98012
Phone (425) 316-9159
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
Interoperability endpoints
- pbhama1252697@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD61030796 | WA | Yes |
| Otolaryngology Physician | 207Y00000X | MD61030796 | WA |
Addresses
Primary practice location
1330 Rockefeller Ave Ste 310
Everett, WA 98201-1677
Mailing address
1330 Rockefeller Ave Ste 310
Everett, WA 98201-1677
Phone (425) 297-5359
Other practice location 1
3216 Norton Ave Ste 202
Everett, WA 98201-4290
Phone (425) 297-5350
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbhama1252697@wm.providencedirect.org | Direct | |
| Direct Messaging Address | pbhama1252697@wm.providencedirect.org | Direct |
Other providers in Everett, WA
- Terri Bevan-Phillips
- Cailey Bevan
- Cem Beyenal
- Jessi Erin Beyer
- Grace Bhak
- Anuja Bhandari
- Suminder Bhangal
- Tanya Bhatia
- Vivek Bhatia
- Sarita Bhatta
All providers in Everett, WA · Otolaryngology/Facial Plastic Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.