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

Samuel Keith Vandergriend, MD

Individual provider Pediatrics Physician · NPI 1881397529

Samuel Keith Vandergriend, MD is a Pediatric Medicine in Seattle, Washington. Graduated from University of Washington School of Medicine in 2023, 3 years ago. Licensed in Washington.

Years since qualifying
3
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2023
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 OC.7.830
Seattle, WA 98105-3901
Phone: (206) 987-2525
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ML61425593 (WA)

Record details

NPI number1881397529
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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