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

Jacob Joseph Stuppy, DO, MS

Individual provider Pediatrics Physician · NPI 1063093094

Jacob Joseph Stuppy, DO, MS is a Pediatric Medicine in Seattle, Washington. Qualified in 2021, 5 years ago. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone: (206) 987-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 70069204 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence 70069204 (WA)
Pediatric Obesity Medicine Physician Taxonomy 2080B0002X · Licence 70069204 (WA)

Record details

NPI number1063093094
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MS
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESJanuary 17, 2026
Certification dateJanuary 17, 2026
Mailing address4800 Sand Point Way Ne, Seattle, WA 98105-3901

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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