CELIA M. DASTVAN MD
NPI 1346341377
Pediatrics in Everett, WA

Active since September 25, 2006PECOS Enrolled
12800 BOTHELL EVERETT HWY, SUITE 190, EVERETT, WA 98208(425) 316-5160(425) 316-5163 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Celia M. Dastvan Md NPPES

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

CELIA M. DASTVAN MD (NPI 1346341377) is an individual pediatrics provider in Everett, Washington, licensed in Washington (MD00030850) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lynnwood.

NPPES Registry Identity

NPI1346341377
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCELIA M. DASTVANCredential: MD
Location Address12800 BOTHELL EVERETT HWY, SUITE 190Everett, WA 98208-6642
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 366-2983
Fax(425) 316-5163
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 10, 2021
NPI 1346341377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WA · MD00030850
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12800 BOTHELL EVERETT HWY, Everett, WA 98208

Secondary Practice Location 1

Location 12902 16TH ST SW BLDG E1LYNNWOOD, WA 98087 · Phone (425) 741-7750 · Fax (425) 259-8600

Other Identifiers 1

Medicaid8146391WA

Accepted 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)

Celia M. Dastvan Md 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 98208 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.56 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,600 services$1.03 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$781.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Otolaryngology
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
General Practice
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Internal Medicine
12800 BOTHELL EVERETT HWY, SUITE 180
EVERETT, WA 98208
Nurse Practitioner
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Nurse Practitioner (Family)
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208
Otolaryngology
12800 BOTHELL EVERETT HWY, SUITE 110
EVERETT, WA 98208
Physician Assistant
12800 BOTHELL EVERETT HWY, STE A
EVERETT, WA 98208

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 Celia Dastvan's NPI number?

The NPI number for Celia Dastvan is 1346341377. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Celia Dastvan located?

Celia Dastvan practices at 12800 Bothell Everett Hwy Suite 190, Everett, WA 98208. The listed phone number is (425) 316-5160.

What is Celia Dastvan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Celia Dastvan enrolled in Medicare?

Yes. Celia Dastvan is registered in the Medicare PECOS enrollment system.

What insurance does Celia Dastvan accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Celia Dastvan 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 Celia Dastvan was last updated on May 24, 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.