ANTHONY A BOULDIN MD
NPI 1164503413
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Seattle, WA
About Anthony A Bouldin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY A BOULDIN MD (NPI 1164503413) is an individual neurology with special qualifications in child neurology provider in Seattle, Washington, licensed in Washington (MD00042649) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and maintains a secondary practice location in Seattle.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anthony A Bouldin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Anthony Bouldin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 1,270 clinicians in this Medicare group
Longview, WA 98632
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Alaska enrollment
- 228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Swedish Medical Center / Cherry Hill
Acute Care Hospitals · Seattle, WASwedish Medical Center
Acute Care Hospitals · Seattle, WASwedish Issaquah
Acute Care Hospitals · Issaquah, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98122
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 Anthony Bouldin's NPI number?
The NPI number for Anthony Bouldin is 1164503413. It was assigned to this individual provider in the NPPES registry on October 17, 2006.
Where is Anthony Bouldin located?
Anthony Bouldin practices at 600 Broadway Ste 400, Seattle, WA 98122. The listed phone number is (206) 215-1440.
What is Anthony Bouldin's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Anthony Bouldin enrolled in Medicare?
Yes. Anthony Bouldin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Anthony Bouldin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Bouldin reassigns Medicare benefits to 4 organizations: Swedish Health Services (Seattle, WA), Providence Health & Services Oregon (Longview, WA), Providence Health & Services - Oregon (Portland, OR) and Providence Health & Services- Washington (Anchorage, AK). Each 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 Anthony Bouldin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Bouldin accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Anthony Bouldin 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.
Is Anthony Bouldin affiliated with any hospitals?
According to CMS data, Anthony Bouldin is affiliated with Swedish Medical Center / Cherry Hill, Swedish Medical Center and Swedish Issaquah.
When was this NPI record last updated?
The NPPES record for Anthony Bouldin was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Anthony A Bouldin, MD · NPI 1164503413
Neurology with Special Qualifications in Child Neurology physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1164503413 (Entity type: Individual)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** MD00042649 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 BROADWAY STE 400, Seattle, WA 98122-5312
- **Phone:** (206) 215-1440 · **Fax:** (206) 215-1441
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Swedish Health Services (NPI 1689612954, Seattle, WA); Providence Health & Services Oregon (NPI 1104097906, Longview, WA); Providence Health & Services - Oregon (NPI 1235259532, Portland, OR); Providence Health & Services- Washington (NPI 1093956278, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Other 262640; Medicaid 8369795 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164503413) · Data from the CMS NPPES public registry.