Individual provider Active NPI

Nadeem Ali Bajwa, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1982744660
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034709 Issued in WA
Practice address
3611 Woodland Park Ave N
#100
Seattle, WA 98103-7905
Phone
(206) 826-1005
Fax
(206) 826-1289
NPI assigned
Feb 8, 2007
Last updated
Oct 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034709 WA Primary

Addresses

Primary practice location

3611 Woodland Park Ave N
#100
Seattle, WA 98103-7905

Mailing address

3611 Woodland Park Ave N
#100
Seattle, WA 98103-7905
Phone (206) 826-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090806000177 WA Practitioner - Chiropractic 1951454065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Seattle Wellness Group PSGroup PAC ID 2769535871, 2 clinicians

Practice addresses (Care Compare)

3611 Woodland Park Ave N
Suite 100
Seattle, WA 98103-7905
Phone (206) 826-1005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034709WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodinville Chiropractic, PS PastSince Jun 17, 2022 Accepting new patients
Avant Chiropractic Chiropractor Past Accepting new patients
Washington Wellness Group PLLC Chiropractor PastSince Aug 18, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1982744660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 WOODLAND PARK AVE N",
            "address_2": "#100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037905",
            "telephone_number": "206-826-1005",
            "fax_number": "206-826-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 WOODLAND PARK AVE N",
            "address_2": "#100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037905",
            "telephone_number": "206-826-1005",
            "fax_number": "206-826-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "NADEEM",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034709",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.