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DR. AEUMURO GASHAW LAKE M.D.
NPI 1174783427
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Seattle, WA

Active since June 11, 2008PECOS Enrolled
801 BROADWAY STE 707, SEATTLE, WA 98122(206) 386-3605(206) 254-9220 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2020, Sep 25, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Aeumuro Gashaw Lake M.d. NPPES

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

DR. AEUMURO GASHAW LAKE M.D. (NPI 1174783427) is an individual urogynecology and reconstructive pelvic surgery provider in Seattle, Washington, licensed in Washington (MD60776447) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174783427
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameDR. AEUMURO GASHAW LAKECredential: M.D.
Location Address801 BROADWAY STE 707Seattle, WA 98122-4328
Mailing AddressPo Box 50150Bellevue, WA 98015-0150 · (425) 228-5228 · Fax (425) 228-5733
Phone(206) 386-3605
Fax(206) 254-9220
Sole ProprietorNo
Enumeration DateJune 11, 2008
Last NPPES UpdateDecember 29, 20204 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1174783427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in WA · MD60776447
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD60776447 (WA)
801 BROADWAY STE 707, Seattle, WA 98122
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Aeumuro Gashaw Lake 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.

Physician 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.

New Patient
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

UROGYNECOLOGY & HEALING ARTS PLLC
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
801 BROADWAY STE 707
SEATTLE, WA 98122
King County (206) 386-3605

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 Aeumuro Lake's NPI number?

The NPI number for Aeumuro Lake is 1174783427. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Aeumuro Lake located?

Aeumuro Lake practices at 801 Broadway Ste 707, Seattle, WA 98122. The listed phone number is (206) 386-3605.

What is Aeumuro Lake's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Aeumuro Lake enrolled in Medicare?

Yes. Aeumuro Lake is registered in the Medicare PECOS enrollment system.

What insurance does Aeumuro Lake accept?

Health plans from PacificSource Health Plans list Aeumuro Lake 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 Aeumuro Lake was last updated on December 29, 2020. 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.