DR. AMIR LOUCAS BASTAWROUS (MD) – Surgery Physician, NPI 1609997485

DR. AMIR LOUCAS BASTAWROUS (MD) is a healthcare provider. based in Issaquah, Washington. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 036-090472 (IL). The NPI Number for DR. AMIR LOUCAS BASTAWROUS (MD) is 1609997485

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMIR LOUCAS BASTAWROUS (MD)
NPI
1609997485
Phone
(425) 313-7075
Address
751 NE Blakely Dr Ste 4500
Enumeration Date
2 April 2007
Last Update Date
16 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
2668526203
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20090818000108
Address ID
WA980296201IS751XXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
abastawrous1041096@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

54 COLORECTAL SURGERY (PROCTOLOGY) in WA

Provider Addresses for DR. AMIR LOUCAS BASTAWROUS (MD)

  • 751 NE Blakely Dr Ste 4500

    Issaquah, WA 980296201

    Phone: (425) 313-7075

    Fax: (206) 386-2452

    Type: Location

  • 1101 MADISON

    SUITE 500

    SEATTLE, WA 98104

    Phone: (206) 386-6600

    Type: Mailing

  • 21605 76th Ave W Ste 200

    Edmonds, WA 980267520

    Phone: (425) 313-7075

    Fax: (206) 386-2452

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $7,265.

Total Amount is formed as General ($7,265) + Research ($0) + Ownership ($0) = $7,265.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,246).

Total Amount

$7,265

General + Research + Ownership

Payments

41

Total payment records

General Amount

$7,265

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-08-18

PECOS data refreshed: 2026-06-15

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
I20090818000108IColorectal Surgery (Proctology)WATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6443$0
46600Diagnostic exam of anus using an endoscope4442$0
99205New patient office or other outpatient visit, 60-74 minutes3232$0
45380Biopsy of large bowel using a flexible endoscope3131$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 98029)

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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: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND
Critical Care (Intensivists), Pulmonary DiseaseWA

Reviews

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Frequently asked questions

Can I verify DR. AMIR LOUCAS BASTAWROUS (MD) with an NPI only?
You can start verification with NPI 1609997485 for DR. AMIR LOUCAS BASTAWROUS (MD), then check state licensing separately.
Does CMS list DR. AMIR LOUCAS BASTAWROUS (MD) as active?
Yes — DR. AMIR LOUCAS BASTAWROUS (MD) is active in the NPI listing used on this page.
What is DR. AMIR LOUCAS BASTAWROUS (MD)'s specialty?
The listing groups DR. AMIR LOUCAS BASTAWROUS (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AMIR LOUCAS BASTAWROUS (MD) on a map?
Expect Issaquah, Washington as a primary anchor for DR. AMIR LOUCAS BASTAWROUS (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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