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KALIE LYN TOMMERDAHL MD
NPI 1477971208
Pediatrics - Pediatric Endocrinology in Seattle, WA

Active since March 29, 2014PECOS Enrolled
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-2000 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Sep 21, 2021 (2 updates tracked since 2021).

About Kalie Lyn Tommerdahl Md NPPES

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

KALIE LYN TOMMERDAHL MD (NPI 1477971208) is an individual pediatric endocrinology provider in Seattle, Washington, licensed in Washington (MD61604236) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477971208
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameKALIE LYN TOMMERDAHLCredential: MD
Location Address4800 SAND POINT WAY NESeattle, WA 98105-3901
Mailing AddressPo Box 5371Seattle, WA 98145-5005 · (206) 987-2000
Phone(206) 987-2000
Sole ProprietorNo
Enumeration DateMarch 29, 2014
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1477971208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in WA · MD61604236
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
4800 SAND POINT WAY NE, Seattle, WA 98105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalie Lyn Tommerdahl 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.

Medicare Billing Reassignments

2

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

Association Of Chmc And University Physicians
0.1 mi
Trauma Surgery
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group
NPI 1649497827 (206) 987-2000
The Association Of University Physicians
4.6 mi
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
NPI 1023041159 (206) 543-6420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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.

NALINI MALARKKAN MD
Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2728
MS. LINDA E EBLEN MA
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
King County (206) 987-6164
DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
King County (206) 987-2056
DR. LESLIE ANN DERVAN MD
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
King County (206) 987-0293
DR. INDI TREHAN MD
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2000
MS. JENNIFER PATANO CNP
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
King County (206) 987-8949
MRS. SUSAN L HOLTZCLAW ARNP
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
King County (206) 987-5691
SHENG ZHOU MD
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2105

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 Kalie Tommerdahl's NPI number?

The NPI number for Kalie Tommerdahl is 1477971208. It was assigned to this individual provider in the NPPES registry on March 29, 2014.

Where is Kalie Tommerdahl located?

Kalie Tommerdahl practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-2000.

What is Kalie Tommerdahl's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Kalie Tommerdahl enrolled in Medicare?

Yes. Kalie Tommerdahl is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kalie Tommerdahl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalie Tommerdahl reassigns Medicare benefits to 2 organizations: Association Of Chmc 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 Kalie Tommerdahl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kalie Tommerdahl accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kalie Tommerdahl 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 Kalie Tommerdahl was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.