JEREMY M GEIDUSCHEK – Pediatric Anesthesiology Physician, NPI 1164512059

JEREMY M GEIDUSCHEK is a healthcare provider. based in Seattle, Washington. specializing in Pediatric Anesthesiology Physician. They hold a License No. MD00021726 (WA). The NPI Number for JEREMY M GEIDUSCHEK is 1164512059

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY M GEIDUSCHEK
NPI
1164512059
Phone
Not provided
Address
4500 SAND POINT WAY NE
Enumeration Date
13 October 2006
Last Update Date
5 February 2009

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2065262000
Graduation Year
1983 (43 years ago)
PAC ID
4981754710
Group Practice PAC ID
9133032964
Professional Enrollment ID
I20090616000604
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JEREMY M GEIDUSCHEK

  • Springbrook Professional Center, 4500, Sand Point Way Northeast, Laurelhurst, Seattle, King County, Washington, 98105, United States

    #100

    SEATTLE, WA 981053900

    Phone:

    Type: Mailing

  • Seattle Children's Hospital, 4800, Sand Point Way Northeast, Laurelhurst, Seattle, King County, Washington, 98105, United States

    SEATTLE, WA 981053901

    Phone: (206) 987-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090616000604IAnesthesiologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133032964View full group profile
NameSpecialtyState
Pediatric MedicineWA
-WA
Pediatric Medicine, Hematology/OncologyCA
-WA
Diagnostic Radiology, Pediatric MedicineWA
Nurse PractitionerWA
A N E S T H E S I O L O G YWA
General Surgery, Thoracic Surgery, Surgical OncologyWA
-WA
-WA

Reviews

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Frequently asked questions

What is the standard ID for JEREMY M GEIDUSCHEK in the U.S.?
In the U.S., JEREMY M GEIDUSCHEK is identified by NPI 1164512059.
Does the public listing show JEREMY M GEIDUSCHEK as active?
JEREMY M GEIDUSCHEK's NPI record reflects an active status in NPPES.
Which specialty label fits JEREMY M GEIDUSCHEK?
NPPES ties JEREMY M GEIDUSCHEK to Pediatric Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JEREMY M GEIDUSCHEK?
JEREMY M GEIDUSCHEK shows a connection to Seattle, Washington in registry-derived data.
Why is information missing for JEREMY M GEIDUSCHEK?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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