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ELISA KODAMA
NPI 1568303089
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 01, 2026PECOS Enrolled
1100 9TH AVE, SEATTLE, WA 98101(206) 624-1144 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elisa Kodama NPPES

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

ELISA KODAMA (NPI 1568303089) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568303089
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameELISA KODAMA
Location Address1100 9TH AVESeattle, WA 98101-2756
Mailing Address6808 39th Ave NeSeattle, WA 98115-7443
Phone(206) 624-1144
Sole ProprietorNo
Enumeration DateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1568303089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1100 9TH AVE, Seattle, WA 98101
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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 (PECOS)

Elisa Kodama 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.

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.

JACLYN ANN SUBKOVIAK OT
Occupational Therapist
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 341-0461
MARCIE G HUME PHARM.D.
Pharmacist
1100 9TH AVE, MS C3-PO
SEATTLE, WA 98101
King County (206) 223-6877
DR. VINAY GUPTA MD
Internal Medicine (Critical Care Medicine)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6980
MARY JO BUKOVIC CCP
Contractor
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
PEGAH SAFAEIAN D.O.
Physical Medicine & Rehabilitation
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
MRS. GENEVIEVE HOUDET-COTE SLP
Speech-Language Pathologist
1100 9TH AVE, MS:H4-PMR
SEATTLE, WA 98101
King County (206) 341-0461
ROBERT DALE MCCLURE MD
Surgery
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
VIRGINIA MASON MEDICAL CENTER
Internal Medicine (Gastroenterology)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600

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 Elisa Kodama's NPI number?

The NPI number for Elisa Kodama is 1568303089. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Where is Elisa Kodama located?

Elisa Kodama practices at 1100 9th Ave, Seattle, WA 98101. The listed phone number is (206) 624-1144.

What is Elisa Kodama's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elisa Kodama enrolled in Medicare?

Yes. Elisa Kodama is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisa Kodama was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.