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VICTORIA SHIMOTSU M.D.
NPI 1871802959
Family Medicine in Bothell, WA

Active since October 06, 2010PECOS Enrolled
1909 214TH ST SE STE 300, BOTHELL, WA 98021(425) 412-7200(425) 412-7342 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2021, Mar 17, 2018, Jul 26, 2017 (3 updates tracked since 2017).

About Victoria Shimotsu M.d. NPPES

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

VICTORIA SHIMOTSU M.D. (NPI 1871802959) is an individual family medicine provider in Bothell, Washington, licensed in Washington (MD60624063) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mountain View.

NPPES Registry Identity

NPI1871802959
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVICTORIA SHIMOTSUCredential: M.D.
Location Address1909 214TH ST SE STE 300Bothell, WA 98021-4418
Mailing Address1200 12th Ave SSeattle, WA 98144-2712 · (206) 621-4579 · Fax (206) 326-2404
Phone(425) 412-7200
Fax(425) 412-7342
Sole ProprietorNo
Enumeration DateOctober 6, 2010
Last NPPES UpdateApril 1, 20213 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1871802959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD60624063✔ Licensed in CA · A113284
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License MD60624063 (WA)
1909 214TH ST SE STE 300, Bothell, WA 98021
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Secondary Practice Location 1

Location 1701 E. El Camino RealMountain View, CA 94040-2833 · Phone (650) 934-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Shimotsu M.d. 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 Victoria Shimotsu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

King County Public Hospital District No 2
Same address
Family Medicine
1909 214TH ST SE, SUITE 110
Bothell, WA 98021
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
NPI 1902907165 (425) 488-4988
Pacmed Clinics
3.9 mi
Multi-Specialty
19401 40TH AVE W, SUITE 100
Lynnwood, WA 98036
  • Reassigned Medicare billing, Washington enrollment
  • 291 clinicians in this Medicare group
NPI 1477594356 (425) 744-7153

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 98021 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$22.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BERNADETH TAGLE GONZALES MD
Family Medicine
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
DR. NHA KE TON D.O.
Family Medicine
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
MARLENE J GRAVES FNP-C
Nurse Practitioner
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (206) 505-1040
DR. KERLAN PETER WOLSEY M.D.
Internal Medicine (Pulmonary Disease)
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
JULIA NADINE WILSON PA-C
Physician Assistant
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
XING FU MD
Anesthesiology (Pain Medicine)
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
MEGAN JONES
Physical Therapist
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
STACY MICHELLE STORY MSW, LCSW, LICSW
Social Worker
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200

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 Victoria Shimotsu's NPI number?

The NPI number for Victoria Shimotsu is 1871802959. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Where is Victoria Shimotsu located?

Victoria Shimotsu practices at 1909 214th St SE Ste 300, Bothell, WA 98021. The listed phone number is (425) 412-7200.

What is Victoria Shimotsu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Victoria Shimotsu enrolled in Medicare?

Yes. Victoria Shimotsu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Victoria Shimotsu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Shimotsu reassigns Medicare benefits to 2 organizations: King County Public Hospital District No 2 (Bothell, WA) and Pacmed Clinics (Lynnwood, 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 Victoria Shimotsu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Shimotsu was last updated on April 1, 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.