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

Dr. Stephen Supoyo, MD

Individual provider Family Medicine Physician · NPI 1316441447

Dr. Stephen Supoyo, MD is a Family Practice in Seattle, Washington. Qualified in 2018, 8 years ago. Practices with Neighborcare Health, a 102-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
Specialties on file
3
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

9245 Rainier Ave S
Seattle, WA 98118-5569
Phone: (206) 722-8444
Fax: (206) 721-6310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7500 Seward Park Ave S, Seattle, WA 98118-4256 — (206) 725-8800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61069893 (WA)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence MD61069893 (WA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence MD61069893 (WA)

Record details

NPI number1316441447
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1200 12th Ave S Ste 901, Seattle, WA 98144-2712

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Neighborcare Health — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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