Active NPI
Keith F Dahlhauser, MD
- Ophthalmology Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00032266
- Practice address
- 1703 S Meridian
Suite 101
Puyallup, WA 98371 - Phone
- (253) 848-3000
- Fax
- (253) 840-6514
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00032266 | WA | Primary |
Addresses
Primary practice location
1703 S Meridian
Suite 101
Puyallup, WA 98371
Mailing address
1703 S Meridian
Suite 101
Puyallup, WA 98371
Phone (253) 848-3000
Other practice location 1
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-0198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8353237 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4907 Point Fosdick Dr NW
Suite E700
Gig Harbor, WA 98335-1842
Phone (253) 848-3000
5225 Cirque Dr W
University Place, WA 98467-3638
Phone (253) 564-3365
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 206 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Eye & Skin Centers P.C. | Ophthalmology | Current | Accepting new patients |
| Mark H Tseng MD PC | Past | Accepting new patients | |
| Evergreen Eye Center, PLLC | Past | Accepting new patients |
Locations
205 10th St NE
Ste 119
Auburn, WA 98002
Phone (253) 939-7911
10004 204th Ave E
Ste 1500
Bonney Lake, WA 98391
4907 Point Fosdick Dr
Ste E700
Gig Harbor, WA 98335
1703 S Meridian
Ste 101
Puyallup, WA 98371
Phone (253) 770-7708
1703 S Meridian
Ste 201
Puyallup, WA 98371
Phone (253) 770-7708
11216 Sunrise Blvd E
Ste 3
Puyallup, WA 98374
Phone (253) 445-2385
5225 Cirque Dr W
Ste 200
University Place, WA 98467
Phone (253) 564-3365
Interoperability endpoints
- k.dahlhauser@cascade.emadirect.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Puyallup, WA
- NPI 1033204938
-
- Ambulatory Surgical Clinic/Center
- Federal Way, WA
- NPI 1821167479
-
- Surgery Physician
- Auburn, WA
- NPI 1942520366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1003827171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 S MERIDIAN",
"address_2": "SUITE 101",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98371",
"telephone_number": "253-848-3000",
"fax_number": "253-840-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 S MERIDIAN",
"address_2": "SUITE 101",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98371",
"telephone_number": "253-848-3000",
"fax_number": "253-840-6514"
}
],
"practiceLocations": [
{
"address_1": "9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984310001",
"country_code": "US",
"telephone_number": "253-968-0198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAHLHAUSER",
"first_name": "KEITH",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00032266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8353237",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.