Individual provider Active NPI

Trent Lane Tredway, M.D.

  • Neurological Surgery Physician
  • Seattle, WA
National Provider Identifier
1013074558
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD00043699 Issued in WA
Practice address
737 Olive Way Apt 2502
Seattle, WA 98101-3751
Phone
(206) 623-1334
Fax
(206) 623-1677
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD00043699 WA Primary

Addresses

Primary practice location

737 Olive Way Apt 2502
Seattle, WA 98101-3751

Mailing address

737 Olive Way Apt 2502
Seattle, WA 98101-3751
Phone (206) 623-1334

Other identifiers 3

IdentifierTypeStateIssuer
0232078OtherWAL&I
1013074558MedicaidWA
320940OtherINTERNAL ID-MOTOR VEHICLE ID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603001075 WA Practitioner - Neurosurgery 5698757540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Rush Medical College of Rush University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trent L Tredway MDGroup PAC ID 5193020550, 2 clinicians

Practice addresses (Care Compare)

929 E Main
Suite 215
Puyallup, WA 98372-3116
Phone (206) 623-1334

Hospital & facility affiliations

  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion98
Laminectomy or laminotomy (partial removal of spine bones)58

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: trent.tredway.1@13091.direct.athenahealth.com

Organizations & group practices 1

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 4

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1013074558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 OLIVE WAY APT 2502",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013751",
            "telephone_number": "206-623-1334",
            "fax_number": "206-623-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 OLIVE WAY APT 2502",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013751",
            "telephone_number": "206-623-1334",
            "fax_number": "206-623-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREDWAY",
        "first_name": "TRENT",
        "middle_name": "LANE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00043699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0232078",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013074558",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "320940",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.