Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Gougoutas, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1821154790

Alexander Gougoutas, MD is a Plastic and Reconstructive Surgery in Seattle, Washington. Graduated from Perelman School of Med at the University of Pennsylvania in 2006, 20 years ago. Practices with The Polyclinic PLLC, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
20
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1229 Madison St # 1660
Seattle, WA 98104-3586
Phone: (206) 860-5582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD60276102 (WA)

Record details

NPI number1821154790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address7600 Evergreen Way, Everett, WA 98203-6421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2006 (20 years in practice)
Group practice The Polyclinic Pllc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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