Active NPI
Rajesh Kumar Kandasamy, MD
- Pulmonary Disease Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD60330994
- Practice address
- 1708 Yakima Ave Ste 300
Tacoma, WA 98405-5309 - Phone
- (253) 363-8700
- Fax
- (360) 697-2514
- NPI assigned
- Oct 4, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD60330994 | WA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD60330994 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD60330994 | WA | Primary |
Addresses
Primary practice location
1708 Yakima Ave Ste 300
Tacoma, WA 98405-5309
Mailing address
1708 Yakima Ave Ste 300
Tacoma, WA 98405-5309
Phone (253) 363-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2030361 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rkandasamy44152@fhsce.catholichealth.net | Direct |
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
- Pulmonary Disease
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341
1608 S J St
Tacoma, WA 98405-4930
1617 S J St
Tacoma, WA 98405-4930
Phone (253) 426-6306
1708 Yakima Ave
Tacoma, WA 98405-5307
Phone (253) 272-2224
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341
1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200
34503 9TH Ave S
Federal Way, WA 98003-8726
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977
Hospital & facility affiliations
- St Joseph Medical Center
- St Francis Community Hospital
- St Clare Hospital
- St Anthony Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| St Francis Community Hospital | Past | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
34509 9th Ave S
Ste 104
Federal Way, WA 98003
Phone (253) 572-5140
1708 Yakima Ave
Ste 300
Tacoma, WA 98405
Phone (253) 363-8700
11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Lakewood, WA
- NPI 1689672693
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1053509976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055309",
"telephone_number": "253-363-8700",
"fax_number": "360-697-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055309",
"telephone_number": "253-363-8700",
"fax_number": "360-697-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDASAMY",
"first_name": "RAJESH",
"middle_name": "KUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-04",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD60330994",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WA",
"license": "MD60330994",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD60330994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2030361",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rkandasamy44152@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1708 Yakima Ave Ste 300",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984055309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.