Individual provider Active NPI

Glaucia De Castro Moreira, M.D.

  • Anesthesiology Physician
  • Tacoma, WA
National Provider Identifier
1003843962
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00041000 Issued in WA
Practice address
1717 S J St
Tacoma, WA 98405-4933
Phone
(253) 426-6625
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00041000 WA Primary

Addresses

Primary practice location

1717 S J St
Tacoma, WA 98405-4933

Mailing address

17837 1St Ave S
PMB 292
Normandy Park, WA 98148
Phone (425) 985-0505

Other identifiers 3

IdentifierTypeStateIssuer
3127WEOtherB/S REGENCE 90
0164971OtherL&I
8299596MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051221001014 WA Practitioner - Anesthesiology 5597787283 Reassigns benefits to 4 organizations
I20230214003096 MT Practitioner - Anesthesiology 5597787283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tacoma Anesthesia Associates Inc PSGroup PAC ID 6002704475, 63 clinicians

Practice addresses (Care Compare)

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 274-1668

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00041000WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Feb 6, 2023 Accepting new patients
The Association of University Physicians Anesthesiology CurrentSince Jan 5, 2023 Accepting new patients
Tacoma Anesthesia Associates Inc PS Anesthesiology CurrentSince Apr 10, 2023 Accepting new patients
Physicians Anesthesia Service PLLC Anesthesiology Current Accepting new patients
Western Washington Medical Group, Inc, PS CurrentSince Dec 1, 2022 Accepting new patients
Billings Clinic Current Accepting new patients
Pacific Anesthesia PC Anesthesiology CurrentSince Jan 1, 2003 Accepting new patients
Billings Clinic CurrentSince Feb 6, 2023 Accepting new patients
Fox Medical Center PastSince Jun 27, 2021 Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

600 Broadway
Ste 270
Seattle, WA 98122
Phone (206) 381-0269

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1229 Madison St
Ste 1440
Seattle, WA 98104
Phone (206) 625-0578

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1003843962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17837 1ST AVE S",
            "address_2": "PMB 292",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "98148",
            "telephone_number": "425-985-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933",
            "telephone_number": "253-426-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREIRA",
        "first_name": "GLAUCIA",
        "middle_name": "DE CASTRO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00041000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S REGENCE 90",
            "identifier": "3127WE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0164971",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8299596",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.