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SARA MASOUM RN
NPI 1649951005
Nurse Practitioner - Family in Kirkland, WA

Active since July 28, 2023PECOS EnrolledAccepts Medicare Assignment
11911 NE 132ND ST STE 200, KIRKLAND, WA 98034(425) 899-5800(425) 899-5806 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2026, Mar 23, 2026, Jul 28, 2023 (3 updates tracked since 2023).

About Sara Masoum Rn NPPES

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

SARA MASOUM RN (NPI 1649951005) is an individual family provider in Kirkland, Washington, licensed in Washington (ARNP.AP.70133206-NP) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1649951005
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARA MASOUMCredential: RN
Location Address11911 NE 132ND ST STE 200Kirkland, WA 98034-2900
Mailing Address11911 Ne 132nd St Ste 200Kirkland, WA 98034-2900 · (425) 899-5800 · Fax (425) 899-5806
Phone(425) 899-5800
Fax(425) 899-5806
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 28, 2023
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1649951005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · ARNP.AP.70133206-NP
11911 NE 132ND ST STE 200, Kirkland, WA 98034
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Sara Masoum Rn 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 ID4183183536
PECOS Enrollment IDI20260826001707
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 Reassignment

Medicare enrollment records show Sara Masoum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

King County Public Hospital District No. 2
0.2 mi
Cardiovascular Disease
12040 NE 128TH ST
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
NPI 1285706036 (425) 899-1000

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 98034 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
$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 5

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

PHILIP CLARK MAY MD
Urology
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034
King County (425) 899-5800
DR. SABRINA LYNN STAIR MD
Urology
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034
King County (425) 899-5800
JEMIMAH LWANGA
Nurse Practitioner (Family)
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034
King County (520) 302-5904
MR. HARUNA DIBBA PA-C
Physician Assistant (Surgical)
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034
King County (425) 899-5800
DR. YEN-HUANG CHEN M.D.
Urology
11911 NE 132ND ST STE 200
KIRKLAND, WA 98034
King County (425) 899-5800

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 Sara Masoum's NPI number?

The NPI number for Sara Masoum is 1649951005. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Where is Sara Masoum located?

Sara Masoum practices at 11911 NE 132nd St Ste 200, Kirkland, WA 98034. The listed phone number is (425) 899-5800.

What is Sara Masoum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sara Masoum enrolled in Medicare?

Yes. Sara Masoum 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 organization bills Medicare for Sara Masoum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Masoum reassigns Medicare benefits to King County Public Hospital District No. 2 (Kirkland, WA). The 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 Sara Masoum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Masoum accept?

Health plans from Providence Health Plan list Sara Masoum 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 Sara Masoum was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.