SWEDISH HEALTH SERVICES – Internal Medicine Physician, NPI 1689612954
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SWEDISH HEALTH SERVICES
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 233-7489
Type: Mailing
800 Fifth Avenue, 800, 5th Avenue, Central Business District, First Hill, Seattle, King County, Washington, 98144, United States
STE 600
SEATTLE, WA 981043176
Phone: (206) 320-2700
Fax: (206) 320-3001
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: 2025-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 16 Medicare enrollment records; no due dates published yet.
Enrollment records
16
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 |
|---|---|---|---|---|
| O20031230000187 | O | Clinic/Group Practice | WA | TBD |
| O20060127000200 | O | Clinic/Group Practice | AK | TBD |
| O20060223000678 | O | Clinic/Group Practice | ID | TBD |
| O20060301000679 | O | Clinic/Group Practice | MT | TBD |
| O20071218000104 | O | Mammography Center | WA | TBD |
| O20220825001699 | O | Clinic/Group Practice | CA | TBD |
| O20221221002398 | O | Clinic/Group Practice | NY | TBD |
| O20230110002092 | O | Clinic/Group Practice | TX | TBD |
| O20230131001869 | O | Clinic/Group Practice | OR | TBD |
| O20230206001431 | O | Clinic/Group Practice | MI | TBD |
| O20240909000254 | O | Clinic/Group Practice | NE | TBD |
| O20241003000151 | O | Clinic/Group Practice | IL | TBD |
| O20241003000216 | O | Clinic/Group Practice | WI | TBD |
| O20250422000707 | O | Clinic/Group Practice | NC | TBD |
| O20250811002672 | O | Clinic/Group Practice | TN | TBD |
| O20251212001700 | O | Clinic/Group Practice | AZ | 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 84125)
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