Active NPI
Ziga Tretjak, MD
- Gastroenterology Physician
- Richland, WA
National Provider Identifier
1033186325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 60113820
- Practice address
- 780 Swift Blvd, Suite 270
Kadlec Clinic, Gastroenterology
Richland, WA 99352 - Phone
- (509) 942-3627
- Fax
- (509) 943-3280
- NPI assigned
- Mar 5, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 60113820 | WA | Primary |
Addresses
Primary practice location
780 Swift Blvd, Suite 270
Kadlec Clinic, Gastroenterology
Richland, WA 99352
Mailing address
9605 Sandifur Pkwy
Pasco, WA 99301-8028
Phone (509) 942-3627
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0259824 | Other | WA | LABOR & INDUSTRIES |
| 0053CQ | Other | TX | BLUE CROSS BLUE SHIELD |
| 8556128 | Medicaid | WA | |
| 113447001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60113820 | WA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Endoscopy Center, LLC | Current | Accepting new patients | |
| Tri-Cities Digestive Health Center, PS | Current | Accepting new patients | |
| St. Joseph Ambulatory Care Inc | Past | Accepting new patients |
Locations
8819 W Victoria Ave
Ste 130
Kennewick, WA 99336
Phone (509) 460-5500
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.
-
- Ambulatory Surgical Clinic/Center
- Kennewick, WA
- NPI 1184926834
-
- Endoscopy Clinic/Center
- Kennewick, WA
- NPI 1003987868
-
- Medical Specialty Clinic/Center
- Bangor, ME
- NPI 1184678088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1033186325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9605 SANDIFUR PKWY",
"city": "PASCO",
"state": "WA",
"postal_code": "993018028",
"telephone_number": "509-942-3627",
"fax_number": "509-547-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 SWIFT BLVD, SUITE 270",
"address_2": "KADLEC CLINIC, GASTROENTEROLOGY",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-942-3627",
"fax_number": "509-943-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRETJAK",
"first_name": "ZIGA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-05",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "60113820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0259824",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0053CQ",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8556128",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113447001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.