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MR. DANIEL EDWARD PUTLAK
NPI 1508331331
Physician Assistant in Bellevue, WA

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
11511 NE 10TH ST, BELLEVUE, WA 98004(425) 502-3000 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Oct 8, 2018 (2 updates tracked since 2018).

About Mr. Daniel Edward Putlak NPPES

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

MR. DANIEL EDWARD PUTLAK (NPI 1508331331) is an individual physician assistant in Bellevue, Washington, licensed in Washington (60887751) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508331331
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DANIEL EDWARD PUTLAK
Location Address11511 NE 10TH STBellevue, WA 98004-8578
Mailing Address11511 Ne 10th StBellevue, WA 98004-8578 · (425) 502-3000
Phone(425) 502-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1508331331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · 60887751
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 60887751 (WA)
11511 NE 10TH ST, Bellevue, WA 98004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Daniel Edward Putlak 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 ID1658618244
PECOS Enrollment IDI20190118002616
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 98004 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
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 20

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

PATSY C LAZAROUS MD
Internal Medicine
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
SALMA F GHARIB M.D.
Emergency Medicine (Emergency Medical Services)
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
PAULA J LINS P.A.-C
Physician Assistant
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
SARAH PROCKO CNM
Advanced Practice Midwife
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
BENNET M. WANG M.D.
Internal Medicine (Pulmonary Disease)
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
CARA PRANGE PT
Physical Therapist
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (800) 995-5658
DR. BRYN MCKINNON SMITH MD
Obstetrics & Gynecology
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
MR. GARRETT MATTHEW KOSLAN CNM
Advanced Practice Midwife
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000

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 Daniel Putlak's NPI number?

The NPI number for Daniel Putlak is 1508331331. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Daniel Putlak located?

Daniel Putlak practices at 11511 NE 10th St, Bellevue, WA 98004. The listed phone number is (425) 502-3000.

What is Daniel Putlak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniel Putlak enrolled in Medicare?

Yes. Daniel Putlak 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.

When was this NPI record last updated?

The NPPES record for Daniel Putlak was last updated on May 4, 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.