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DR. LAURIE MIDORI TAZUMA M.D.
NPI 1366594483
Psychiatry & Neurology - Psychiatry in Seattle, WA

Active since January 17, 2007Opted out of Medicare · through Jan 6, 2028
4020 E MADISON ST, SUITE 240, SEATTLE, WA 98112(206) 322-0391(206) 323-2077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laurie Midori Tazuma M.d. NPPES

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

DR. LAURIE MIDORI TAZUMA M.D. (NPI 1366594483) is an individual psychiatry provider in Seattle, Washington, licensed in Washington (MD00018588) and active in the NPI registry since January 2007. She has opted out of Medicare through January 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366594483
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LAURIE MIDORI TAZUMACredential: M.D.
Location Address4020 E MADISON ST, SUITE 240Seattle, WA 98112-3149
Mailing Address4020 E Madison St, Suite 240Seattle, WA 98112-3149 · (206) 322-0391 · Fax (206) 323-2077
Phone(206) 322-0391
Fax(206) 323-2077
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366594483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · MD00018588
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4020 E MADISON ST, Seattle, WA 98112
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Other Identifiers 3

Other0157499WA · L&i Provider Number
Medicaid1982808WA
Medicare UPINA05757WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Laurie Midori Tazuma M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2016 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2016
Opt-Out In Effect ThroughJanuary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98112 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
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.

RICHARD T. ADAMSON M.D.
Psychiatry & Neurology (Psychiatry)
4020 E MADISON ST, SUITE 210
SEATTLE, WA 98112
King County (206) 328-5135

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 Laurie Tazuma's NPI number?

The NPI number for Laurie Tazuma is 1366594483. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Laurie Tazuma located?

Laurie Tazuma practices at 4020 E Madison St Suite 240, Seattle, WA 98112. The listed phone number is (206) 322-0391.

What is Laurie Tazuma's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Laurie Tazuma enrolled in Medicare?

No. Laurie Tazuma has opted out of Medicare through January 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Laurie Tazuma was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.