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

Jeremy David Kassebaum, MD

Individual provider Pediatrics Physician · NPI 1750492922

Jeremy David Kassebaum, MD is a Pediatrics Physician in Seattle, Washington. Works from 2 locations. Licensed in Washington.

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

4800 Sand Point Way NE MS B-5520
Seattle, WA 98105-3901
Phone: (206) 987-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11511 Ne 10th St, Bellevue, WA 98004-8578 — (425) 502-3000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD00048456 (WA)

Record details

NPI number1750492922
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

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