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DR. KENNETH WILLIAM GOW M.D.
NPI 1063505030
Surgery - Pediatric Surgery in Seattle, WA

Active since October 02, 2006PECOS Enrolled
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-1177(206) 987-3925 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenneth William Gow M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH WILLIAM GOW M.D. (NPI 1063505030) is an individual pediatric surgery provider in Seattle, Washington, licensed in Washington (MD00048323) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1063505030
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. KENNETH WILLIAM GOWCredential: M.D.
Location Address4800 SAND POINT WAY NESeattle, WA 98105-3901
Mailing Address4800 Sand Point Way NeSeattle, WA 98105 · (206) 987-1177 · Fax (206) 987-3925
Phone(206) 987-1177
Fax(206) 987-3925
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1063505030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in WA · MD00048323
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
4800 SAND POINT WAY NE, Seattle, WA 98105
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Secondary Practice Location 1

Location 1780 Swift BlvdRichland, WA 99352-3524 · Phone (509) 942-3060 · Fax (509) 946-1850

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth William Gow M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Gow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Surgical Associates, University Faculty Practice Corporati
2,440 mi
Surgery
SUNY @ STONY BROOK, HSC, L19, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 114 clinicians in this Medicare group
NPI 1063468536 (631) 444-8278

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NALINI MALARKKAN MD
Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2728
MS. LINDA E EBLEN MA
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
King County (206) 987-6164
DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
King County (206) 987-2056
DR. LESLIE ANN DERVAN MD
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
King County (206) 987-0293
DR. INDI TREHAN MD
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2000
MS. JENNIFER PATANO CNP
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
King County (206) 987-8949
MRS. SUSAN L HOLTZCLAW ARNP
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
King County (206) 987-5691
SHENG ZHOU MD
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Gow's NPI number?

The NPI number for Kenneth Gow is 1063505030. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Kenneth Gow located?

Kenneth Gow practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-1177.

What is Kenneth Gow's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Kenneth Gow enrolled in Medicare?

Yes. Kenneth Gow is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Gow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Gow reassigns Medicare benefits to Stony Brook Surgical Associates, University Faculty Practice Corporati (Stony Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Gow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Gow accept?

Health plans from Providence Health Plan list Kenneth Gow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Gow was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.