Individual provider Active NPI

Andrew Dearden, MD

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1033614904
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61423640 Issued in WA
Practice address
Radiology Department 1959 NE Pacific Street
Seattle, WA 98195-0001
Phone
(206) 598-3303
NPI assigned
Mar 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD61423640 WA Primary

Addresses

Primary practice location

Radiology Department 1959 NE Pacific Street
Seattle, WA 98195-0001

Mailing address

Radiology Department 1959 NE Pacific Street
Box 357115
Seattle, WA 98195-0001

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MI2 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
I20240320003855 WA Practitioner - Diagnostic Radiology 7517322316 Reassigns benefits to 3 organizations
I20241105003047 MI Practitioner - Diagnostic Radiology 7517322316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oakland Univ, William Beaumont School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Practice addresses (Care Compare)

25631 Little Mack Ave
Saint Clair Shores, MI 48081-2100
Phone (586) 443-2998

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8196

3555 W 13 Mile Rd
N120 Corewell Health William Beaumont Unive
Royal Oak, MI 48073-6710
Phone (248) 551-1550

3577 W 13 Mile Rd
Royal Oak, MI 48073-6710

3581 W 13 Mile Rd BCC
Beaumont Breast Care Center Ro
Royal Oak, MI 48073-6710
Phone (248) 551-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-5190

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince May 1, 2024 Accepting new patients
Tra-Minw P S CurrentSince May 1, 2024 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince May 1, 2024 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Feb 6, 2024 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Oct 29, 2024 Accepting new patients
Tra-Minw P S Past Accepting new patients

Locations (25 of 30)

26901 Beaumont Blvd
#3D
Southfield, MI 48033

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

16045 1st Ave S
Burien, WA 98148
Phone (206) 965-4100

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

24080 SE Kent Kangley Rd
Maple Valley, WA 98038
Phone (253) 372-7680

500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307

208 17th Ave SE
#201
Puyallup, WA 98372
Phone (253) 840-1999

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

222 15th Ave SE
Puyallup, WA 98372

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

118 NE 45th St
#A
Seattle, WA 98105
Phone (206) 430-7570

3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399

3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099

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

2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900

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

2209 E 32nd St
Tacoma, WA 98404
Phone (206) 593-0244

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1033614904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RADIOLOGY DEPARTMENT 1959 NE PACIFIC STREET",
            "address_2": "BOX 357115",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RADIOLOGY DEPARTMENT 1959 NE PACIFIC STREET",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-598-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEARDEN",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-24",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61423640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.