ERIC BAUTISTA (M.D.) – Internal Medicine Physician, NPI 1437576972
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
Provider Addresses for ERIC BAUTISTA (M.D.)
306 23RD AVE S STE 200
SEATTLE, WA 981442371
Phone:
Type: Mailing
1620 BROADWAY STE 100A
SEATTLE, WA 981222560
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
2425 GEARY BLVD
GRADUATE MEDICAL EDUCATION
SAN FRANCISCO, CA 941153358
Phone: (415) 833-9182
Fax: (415) 833-4983
Type: Mailing
13607 118TH AVE NE
KIRKLAND, WA 980342147
Phone: (425) 504-6817
Type: Mailing
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: 2024-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170214000764 | I | Internal Medicine | CA | TBD |
| I20241007003008 | I | Internal Medicine | WA | TBD |
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.
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 98144)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Internal Medicine, Hospitalist | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Physician Assistant | VA | |
| Family Practice | WA | |
| Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| Nurse Practitioner | WA |
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