Western Washington Medical Group Inc Ps
NPI 1780522615ActiveOrganization· Family Medicine· Bothell, WA
Family Medicine in Bothell, Washington, registered in NPPES in March 2026, part of Western Washington Medical Group Inc Ps. The authorized official on file is David Russian, MD, Ceo.
Overview
| NPI | 1780522615 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Western Washington Medical Group Inc Ps |
| NPI issued | Mar 23, 2026 |
| Last updated in NPPES | May 8, 2026 |
| Certified by provider | May 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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