PROMED PREFERRED WA PROFESSIONAL CORPORATION – NPI #1902645013
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

PROMED PREFERRED WA PROFESSIONAL CORPORATION is a provider located in TUKWILA, WA. NPPES has assigned the NPI number 1902645013 to PROMED PREFERRED WA PROFESSIONAL CORPORATION on May 20, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Jul 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROMED PREFERRED WA PROFESSIONAL CORPORATION below.

NPI Profile for
PROMED PREFERRED WA PROFESSIONAL CORPORATION

NPI Number
1902645013
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROMED PREFERRED WA PROFESSIONAL CORPORATION
Primary location
16400 SOUTHCENTER PKWY STE 309
TUKWILA, WA 98188-3302
Phone: (425) 285-8746 Fax:
Mailing address
4 LEGENDS CIR
MELVILLE, NY 11747-5302
Phone: Fax:
Organization Subpart
No
Authorized Official
LEV GRINMAN
CO-OWNER
Phone: (425) 285-8746
Updated
Certification Date
Jul 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.