RANDALL A BLY
NPI 1457592396
Otolaryngology - Pediatric Otolaryngology in Seattle, WA

Active since March 23, 2009PECOS EnrolledAccepts Medicare Assignment
1959 NE PACIFIC ST, BOX 356161, NE-306, SEATTLE, WA 98195(206) 598-4022 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Randall A Bly NPPES

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

RANDALL A BLY (NPI 1457592396) is an individual pediatric otolaryngology provider in Seattle, Washington, licensed in Washington (MD60671186) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Seattle Children's Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2009).

NPPES Registry Identity

NPI1457592396
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameRANDALL A BLY
Location Address1959 NE PACIFIC ST, BOX 356161, NE-306Seattle, WA 98195-0001
Mailing Address14015 36th Ave NeSeattle, WA 98125-3725 · (440) 241-0706
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2009
Enumeration DateMarch 23, 2009
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1457592396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in WA · MD60671186
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
1959 NE PACIFIC ST, Seattle, WA 98195

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

Randall A Bly 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.

PECOS PAC ID2567772106
PECOS Enrollment IDI20161028000623
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 Reassignments

2

Medicare enrollment records show Randall Bly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
4500 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • 1,443 clinicians in this Medicare group
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Seattle Children's Hospital

Childrens · Seattle, WA
OwnershipVoluntary non-profit - Private
CMS Certification Number503300
Location4800 Sand Point Way NE, PO Box C-5371Seattle, WA 98105 · King County
Emergency services

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

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 Randall Bly's NPI number?

The NPI number for Randall Bly is 1457592396. It was assigned to this individual provider in the NPPES registry on March 23, 2009.

Where is Randall Bly located?

Randall Bly practices at 1959 NE Pacific St Box 356161, Ne-306, Seattle, WA 98195. The listed phone number is (206) 598-4022.

What is Randall Bly's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Randall Bly enrolled in Medicare?

Yes. Randall Bly 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 Randall Bly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Bly reassigns Medicare benefits to 2 organizations: The Association Of Chrmc And University Physicians (Seattle, WA) and The Association Of University Physicians (Seattle, WA). 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 Randall Bly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randall Bly accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Randall Bly 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 Randall Bly affiliated with any hospitals?

According to CMS data, Randall Bly is affiliated with Seattle Children's Hospital.

When was this NPI record last updated?

The NPPES record for Randall Bly was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.